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pediatric inguinal hernia

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https://www.readbyqxmd.com/read/29661573/outcomes-following-laparoscopic-versus-open-surgery-for-pediatric-inguinal-hernia-repair-analysis-using-a-national-inpatient-database-in-japan
#1
Michimasa Fujiogi, Nobuaki Michihata, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Jun Fujishiro
BACKGROUND: This study compared perioperative outcomes between laparoscopic surgery (LS) and open surgery (OS) for pediatric inguinal hernia repair, using a national inpatient database. METHODS: Using the Diagnosis Procedure Combination database in Japan, we compared duration of anesthesia, postoperative complications, recurrence, and metachronous hernia (MH) between LS and OS for children undergoing inguinal hernia repair from July 2010 to March 2016. We used multivariable logistic regression analysis for postoperative complications and Cox regression analysis for recurrence...
March 17, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29653441/the-impact-of-groin-surgery-during-childhood-on-the-incidence-of-inguinal-hernia-repair-and-its-postoperative-complications-in-adult-life
#2
Arestis Sokratous, Johanna Österberg, Gabriel Sandblom
BACKGROUND:  Pediatric inguinal hernia, hydrocele, and cryptorchidism are common congenital anomalies affecting children, and require surgical intervention in some cases. The association between surgical treatment of these conditions and acquired inguinal hernia later in life is poorly understood. The aim of this cohort study was to examine the effect of groin surgery during childhood on the incidence and surgical outcome of inguinal hernia repair in adult life. MATERIALS AND METHODS:  Data from the Swedish Inpatient Register and the Swedish Hernia Register were cross-linked using the patient personal identity numbers...
April 13, 2018: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29628207/inguinal-hernia-in-preterms-in-neonatal-intensive-care-units-optimal-timing-of-herniorrhaphy-and-necessity-of-contralateral-exploration-in-unilateral-presentation
#3
Joong Kee Youn, Hyun-Young Kim, Yeon-Ju Huh, Ji-Won Han, Soo-Hong Kim, Chaeyoun Oh, Ah Hae Jo, Kwi-Won Park, Sung-Eun Jung
BACKGROUND: We sought to determine the optimal timing of IH repair in preterms and the need for routine contralateral exploration. METHODS: Medical records of 3690 pediatric patients who underwent unilateral IH repair between January 1998 and December 2009 were reviewed. We assessed medical record review and telephone interviews. In total, 1990 patients were enrolled in the study. Early, early-delayed, and late repair were defined as herniorrhaphy performed within 7 days of diagnosis, later than 7 days of diagnosis, and after discharge from the NICU, respectively...
February 24, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29601276/the-effect-of-a-hypnotic-based-animated-video-on-stress-and-pain-reduction-in-pediatric-surgery
#4
Zahi Arnon, Hosari Hanan, Jorge Mogilner
Presurgical stress and its negative influences on postsurgical recovery and pain are well documented in the medical literature. Hence, the reduction of stress is advisable. The present study aimed to reduce stress using a hypnotic-based animated video. Thirty children aged 3 to 16 years hospitalized for ambulatory surgery for undescended testes or umbilical/inguinal hernia were recruited for the study. They watched the video 1 time prior to surgery in the presence of their parents and reported their anxiety and pain pre- and postvideo watching on a visual analogue scale...
April 2018: International Journal of Clinical and Experimental Hypnosis
https://www.readbyqxmd.com/read/29596095/dexamethasone-as-an-adjuvant-for-caudal-blockade-in-pediatric-surgical-patients-a-systematic-review-and-meta-analysis
#5
Matthew A Chong, Daniel J Szoke, Nicolas M Berbenetz, Cheng Lin
BACKGROUND: Caudal block is commonly used to provide postoperative analgesia after pediatric surgery in the lower abdomen. Typically administered as a single-shot technique, 1 limitation of this block is the short duration of analgesia. To overcome this, dexamethasone has been used as an adjuvant to prolong block duration. However, there are concerns about steroid-related morbidity and the optimal route of dexamethasone administration (eg, caudal or intravenous) is unknown. METHODS: We conducted a systematic review and random-effects meta-analysis of randomized controlled trials recruiting pediatric surgical patients receiving a caudal block for surgical anesthesia or postoperative analgesia...
March 27, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29501237/experience-with-peritoneal-thermal-injury-during-subcutaneous-endoscopically-assisted-ligation-for-pediatric-inguinal-hernia
#6
Etienne St-Louis, Annie Chabot, Hayden Stagg, Robert Baird
BACKGROUND: Subcutaneous endoscopically-assisted ligation (SEAL) for pediatric inguinal hernia repair has gained in popularity although variations in techniques exist. Peritoneal scarring by thermal injury has been described as an adjunct. We explored the hypothesized inverse-correlation between peritoneal scarring and recurrence after SEAL. METHODS: We conducted a single-center retrospective review of all patients <18years old undergoing SEAL between 2010 and 2016 (REB-20172727)...
May 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29461296/evidence-supporting-laparoscopic-hernia-repair-in-children
#7
Samuel Jessula, Dafydd A Davies
PURPOSE OF REVIEW: Pediatric inguinal hernias are a commonly performed surgical procedure. Currently, they can be approached via open or laparoscopic surgery. We summarize the current evidence for laparoscopic inguinal hernia repairs in children. RECENT FINDINGS: Laparoscopic and open inguinal hernia repair in children are associated with similar operative times for unilateral hernia, as well as similar cosmesis, complication rates and recurrence rates. Bilateral hernia repair has been shown to be faster through a laparoscopic approach...
June 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/29424624/algorithm-of-laparoscopic-technique-in-pediatric-inguinal-hernia-results-from-experience-of-10-years
#8
Sherif M Shehata, Mohamed A Attia, Ashraf A El Attar, AbdelMotaleb E Ebid, Mohamed M Shalaby, Akram M ElBatarny
BACKGROUND: Many laparoscopic techniques have been evolved along years for pediatric inguinal hernia (PIH) with no standardization of technique. No single technique suits all varieties of hernia. PURPOSE: To propose an algorithm for allocation of PIH to laparoscopic technique based on internal ring (IR) diameter to improve outcomes. PATIENTS AND METHODS: Along 10 years, 459 cases with unilateral PIH were treated in Tanta University Hospital...
February 9, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29417340/trans-umbilical-two-port-laparoscopic-suturing-of-the-inguinal-hernia-defect-with-percutaneous-assistance-a-safe-and-efficient-scarless-surgery-for-pediatric-inguinal-hernia-repair
#9
T Shou, H Zhong, F Wang
PURPOSE: This study was aimed to describe the technique of the modified trans-umbilical two-port laparoscopic suturing (M-TTLS), and show its feasibility and efficacy to treat pediatric inguinal hernia (PIH). METHODS: After general anesthesia, the patient was placed in the Trendelenburg position. Two trocars were set on umbilicus and a pneumoperitoneum was established at 8-12 mmHg. Under direct vision, a long syringe needle was punctured into the preperitoneal space above the internal inguinal ring (IIR)...
February 7, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29401475/overexpression-of-ubiquitin-carboxyl-terminal-hydrolase-1-uchl1-in-boys-with-cryptorchidism
#10
Dorota Toliczenko-Bernatowicz, Ewa Matuszczak, Marzena Tylicka, Beata Szymańska, Marta Komarowska, Ewa Gorodkiewicz, Wojciech Debek, Adam Hermanowicz
BACKGROUND: The ubiquitin-proteasome system regulate p53, caspase and Bcl-2 family proteins, and is crucial for the degradation of the defective germ cells in testes. Purpose: to evaluate the concentration of ubiquitin carboxyl-terminal hydrolase 1 (UCHL1) in the blood plasma of boys with cryptorchidism and if there is any correlation with patient age. METHODS: Patients-50 boys aged 1-4 years (median = 2,4y.) with unilateral cryptorchidism. Exclusion criteria were: previous human chorionic gonadotropin treatment, an abnormal karyotype, endocrine or immunological disorders or any long-term medication...
2018: PloS One
https://www.readbyqxmd.com/read/29393725/effects-of-laparascopic-hernia-repair-by-pirs-percutan-internal-ring-suturing-technique-on-testicular-artery-blood-supply
#11
Akgun Oral, Leyla Karaca, Ali Ahiskalioglu, Abdullah Yildiz, Murat Yigiter, Mehmet Emin Celikkaya, Temirlan Chyndolotov, Ahmet Bedii Salman
PURPOSE: Percutaneous internal ring suturing technique (PIRS) is a minimally invasive technique in pediatric inguinal hernia repair. In the present study, a negative effect on testicular blood flow using PIRS technique has been investigated. METHODS: Forty male patients were included in the study prospectively. Two groups were formed as conventional open surgery (Group I) and PIRS technique (Group II). The resistive index (RI) value of the testicular artery was measured prospectively by using SMI (superb micro-vascular imaging) software with the color doppler ultrasound technique preoperatively and postoperatively at the first month...
February 2, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29384943/single-center-retrospective-study-of-the-outcome-of-laparoscopic-inguinal-herniorrhaphy-in-children
#12
Sucharitha Geiger, Andrei Bobylev, Sabine Schädelin, Johannes Mayr, Stefan Holland-Cunz, Peter Zimmermann
Laparoscopic hernia repairs are used increasingly in children.The purpose of this single-center cohort observational research study was to analyze the outcome of children treated surgically for unilateral or bilateral inguinal hernia using laparoscopy.We did a STROBE-compliant retrospective outcome analysis of pediatric, laparoscopic hernia repair. Consecutive laparoscopic herniorrhaphies in 123 children done between March 2, 2010, and March 1, 2014, were included in this analysis. Data analysis was based on reviewing the hospital records and a prospective questionnaire...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29352663/early-versus-delayed-closure-of-bladder-exstrophy-a-national-surgical-quality-improvement-program-pediatric-analysis
#13
J J Ahn, M Shnorhavorian, C Katz, A B Goldin, P A Merguerian
INTRODUCTION: Delayed closure of bladder exstrophy has become more popular; however, there is limited the evidence of its success. Existing literature focuses on intermediate and long-term outcomes, and short-term postoperative outcomes are limited by the small number of cases and varying follow-up methods. OBJECTIVE: The objectives of the current study were to: 1) compare 30-day complications after early and delayed closure of bladder exstrophy, and 2) evaluate practice patterns of bladder exstrophy closure...
February 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29341401/the-prediction-probabilities-for-emergence-from-sevoflurane-anesthesia-in-children-a-comparison-of-the-perfusion-index-and-the-bispectral-index
#14
Pei-Pei Liu, Chi Wu, Jun-Zheng Wu, Ma-Zhong Zhang, Ji-Jian Zheng, Yang Shen, Pan He, Ying Sun
BACKGROUND: Predicting recovery of consciousness is one of the most essential functions of anesthesia depth monitors in anesthesia practice. Perfusion index and bispectral index are 2 indicators of the anesthesia depth monitoring with different working principles. The progression of the anesthesia emergence stages reflected by those monitors has not been well understood, especially in pediatric patients. The goals of this study were to compare the prediction probabilities of perfusion index and bispectral index in predicting awakening and in differentiating the different levels of arousal during emergence after sevoflurane anesthesia in children undergoing open inguinal hernia repairs...
March 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29288306/risk-factors-for-incisional-hernia-in-children
#15
Keiichiro Tanaka, Takeyuki Misawa, Shuichi Ashizuka, Jyoji Yoshizawa, Tadashi Akiba, Takao Ohki
BACKGROUND: Incisional hernia (IH) is a major complication of abdominal surgery. Although previous studies reported that the incidence of IH after abdominal surgery in adults was 5-50% and that various independent risk factors were involved, IH in children is still not well known. The objective of our study was to investigate the incidence and risk factors for IH in children. METHODS: We retrospectively reviewed all children who underwent abdominal surgery at the Jikei University Hospitals (Jikei University Hospital, Kashiwa Hospital, Katsushika Medical Center and Daisan Hospital) between January 2001 and December 2016...
December 29, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29276467/chiropractic-management-using-multimodal-therapies-on-2-pediatric-patients-with-constipation
#16
Madhu Mia Iyer, Evangelia Skokos, Denise Piombo
Objective: The purpose of this case report is to describe chiropractic management of 7-month-old male twins who had had constipation since birth. Clinical Features: Identical male twins presented with the chief complaint of constipation and bloating. Both patients were born premature after 29 weeks of gestation and had invasive abdominal surgeries in the right lower quadrant resulting in healed postsurgical scars. Patient A underwent ileostomy for a perforation in his ileum...
December 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29261090/outcomes-of-adolescent-and-young-adults-receiving-high-ligation-and-mesh-repairs-a-16-year-experience
#17
Cory N Criss, Nathan Gish, Joshua Gish, Benjamin Carr, Jennifer S McLeod, Joseph T Church, Lily Hsieh, Niki Matusko, James D Geiger, Ronald B Hirschl, Samir K Gadepalli
INTRODUCTION: Interestingly, the pediatric and adult surgeons perform vastly different operations in similar patient populations. Little is known about long-term recurrence and quality of life (QOL) in adolescents and young adults undergoing inguinal hernia repair. We evaluated long-term patient-centered outcomes in this population to determine the optimal operative approach. METHODS: The medical records of patients 12-25 years old at the time of a primary inguinal hernia repair at our institution from 2000 to 2016 were retrospectively reviewed...
February 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29203366/commentary-to-reduction-and-standardization-of-surgical-instruments-in-pediatric-inguinal-hernia-repair
#18
Paul Merguerian
No abstract text is available yet for this article.
February 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29195832/variation-in-the-use-of-laparoscopy-with-inguinal-hernia-repairs-in-a-sample-of-pediatric-patients-at-children-s-hospitals
#19
K W Herbst, H Thaker, G M Lockwood, J I Hagadorn, S Masoud, P Kokorowski
INTRODUCTION/BACKGROUND: Metachronous contralateral inguinal hernias (MCH) occur in approximately 10% of pediatric patients following unilateral inguinal hernia repairs (UIHR). Laparoscopic evaluation of the contralateral internal ring is a method of identifying high-risk individuals for prophylactic contralateral exploration and repair. OBJECTIVE: The objective of this study was to assess variation in utilization of diagnostic laparoscopy, and report costs associated with the evaluation of a contralateral patent processus vaginalis during hernia repair in pediatric hospitals...
November 28, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29188379/inguinal-hernia-repair-by-bianchi-incision-in-boys-a-retrospective-study
#20
Junshan Lin, Dumiao Li, Jinwen Chen, Li Lin, Yali Xu
OBJECTIVE: Open inguinal hernia repair by Bianchi incision is a potential alternative technique for the treatment of IH. This study aims to retrospectively analyze boys with IH, who underwent open IH repair by Bianchi incision. METHODS: A total of 3300 boys (1-144 months) with IH from April 2007 to September 2015 were enrolled into this study. An open high scrotal incision (Bianchi incision) to ligate the processus proximal to the internal inguinal ring was performed in patients for IH repair...
March 2018: Pediatric Surgery International
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