Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration

A. Pini Prato, V. Rossi, M. Mosconi, N. Disma, L. Mameli, G. Montobbio, A. Michelazzi, F. Faranda, S. Avanzini, P. Buffa, L. Ramenghi, P. Tuo, G. Mattioli

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9 Citations (Scopus)

Abstract

Background/purpose: Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration.

Methods: This is a retrospective study of a series of consecutive patients weighing less than 5 kg who underwent inguinal hernia repair between January 2007 and December 2012. Only the affected side was treated. Patients have been routinely followed up postoperatively. We resorted to available outpatients’ charts and admission notes to record demographic data, surgical details, complications and the occurrence of metachronous hernias. A questionnaire was administered to all patients’ relatives to confirm the long-term outcome.

Results: One hundred fifty-four patients were operated for a total of 184 herniotomies (88 right sided, 36 left sided and 30 bilateral). Median length of follow-up was 42 months (range 6 months–7.5 years). Thirteen patients (13/124 = 10.5 %) developed metachronous hernia that proved to be significantly more frequent in patients weighing less than 1,500 g at birth (p 

Conclusions: The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.

Original languageEnglish
Pages (from-to)131-136
Number of pages6
JournalPediatric Surgery International
Volume31
Issue number2
DOIs
Publication statusPublished - 2014

Fingerprint

Inguinal Hernia
Newborn Infant
Hernia
Herniorrhaphy
Very Low Birth Weight Infant
Groin
Postoperative Period
Outpatients
Retrospective Studies
Demography
Parturition
Incidence

Keywords

  • Complication
  • Inguinal herniotomy
  • Metachronous hernia
  • Preterm
  • Timing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Medicine(all)

Cite this

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title = "Inguinal hernia in neonates and ex-preterm: complications, timing and need for routine contralateral exploration",
abstract = "Background/purpose: Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration.Methods: This is a retrospective study of a series of consecutive patients weighing less than 5 kg who underwent inguinal hernia repair between January 2007 and December 2012. Only the affected side was treated. Patients have been routinely followed up postoperatively. We resorted to available outpatients’ charts and admission notes to record demographic data, surgical details, complications and the occurrence of metachronous hernias. A questionnaire was administered to all patients’ relatives to confirm the long-term outcome.Results: One hundred fifty-four patients were operated for a total of 184 herniotomies (88 right sided, 36 left sided and 30 bilateral). Median length of follow-up was 42 months (range 6 months–7.5 years). Thirteen patients (13/124 = 10.5 {\%}) developed metachronous hernia that proved to be significantly more frequent in patients weighing less than 1,500 g at birth (p Conclusions: The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.",
keywords = "Complication, Inguinal herniotomy, Metachronous hernia, Preterm, Timing",
author = "{Pini Prato}, A. and V. Rossi and M. Mosconi and N. Disma and L. Mameli and G. Montobbio and A. Michelazzi and F. Faranda and S. Avanzini and P. Buffa and L. Ramenghi and P. Tuo and G. Mattioli",
year = "2014",
doi = "10.1007/s00383-014-3638-z",
language = "English",
volume = "31",
pages = "131--136",
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TY - JOUR

T1 - Inguinal hernia in neonates and ex-preterm

T2 - complications, timing and need for routine contralateral exploration

AU - Pini Prato, A.

AU - Rossi, V.

AU - Mosconi, M.

AU - Disma, N.

AU - Mameli, L.

AU - Montobbio, G.

AU - Michelazzi, A.

AU - Faranda, F.

AU - Avanzini, S.

AU - Buffa, P.

AU - Ramenghi, L.

AU - Tuo, P.

AU - Mattioli, G.

PY - 2014

Y1 - 2014

N2 - Background/purpose: Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration.Methods: This is a retrospective study of a series of consecutive patients weighing less than 5 kg who underwent inguinal hernia repair between January 2007 and December 2012. Only the affected side was treated. Patients have been routinely followed up postoperatively. We resorted to available outpatients’ charts and admission notes to record demographic data, surgical details, complications and the occurrence of metachronous hernias. A questionnaire was administered to all patients’ relatives to confirm the long-term outcome.Results: One hundred fifty-four patients were operated for a total of 184 herniotomies (88 right sided, 36 left sided and 30 bilateral). Median length of follow-up was 42 months (range 6 months–7.5 years). Thirteen patients (13/124 = 10.5 %) developed metachronous hernia that proved to be significantly more frequent in patients weighing less than 1,500 g at birth (p Conclusions: The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.

AB - Background/purpose: Aim of this study was to present a series of neonates and ex-preterm babies who underwent inguinal hernia repair focusing on complications and possible indication to perform routine contralateral groin exploration.Methods: This is a retrospective study of a series of consecutive patients weighing less than 5 kg who underwent inguinal hernia repair between January 2007 and December 2012. Only the affected side was treated. Patients have been routinely followed up postoperatively. We resorted to available outpatients’ charts and admission notes to record demographic data, surgical details, complications and the occurrence of metachronous hernias. A questionnaire was administered to all patients’ relatives to confirm the long-term outcome.Results: One hundred fifty-four patients were operated for a total of 184 herniotomies (88 right sided, 36 left sided and 30 bilateral). Median length of follow-up was 42 months (range 6 months–7.5 years). Thirteen patients (13/124 = 10.5 %) developed metachronous hernia that proved to be significantly more frequent in patients weighing less than 1,500 g at birth (p Conclusions: The results of our series demonstrated that, though technically demanding, herniotomy in the neonate and ex-preterm is associated with a relatively low incidence of complications. Based on our results and in accordance with literature data, we do not advocate routine contralateral exploration in case of unilateral hernia but surgery to be performed only on the symptomatic side, as soon as possible after initial diagnosis. Very low birth weight patients should be followed with care in the early postoperative period due to the higher likelihood of developing a metachronous hernia.

KW - Complication

KW - Inguinal herniotomy

KW - Metachronous hernia

KW - Preterm

KW - Timing

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U2 - 10.1007/s00383-014-3638-z

DO - 10.1007/s00383-014-3638-z

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