Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants
Background: As surgical techniques progress, laparoscopic herniorrhaphy is now performed more often in premature babies. The aim of this study was to analyze the outcomes of newborns and infants who underwent single-incision laparoscopic herniorrhaphy (SILH) at our center. Methods: We retrospectivel...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-02-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/13/3/529 |
| _version_ | 1797624805194727424 |
|---|---|
| author | Tsung-Jung Tsai Ching-Min Lin I Nok Cheang Yao-Jen Hsu Chin-Hun Wei Tai-Wai Chin Chin-Yen Wu Wen-Yuan Chang Yu-Wei Fu |
| author_facet | Tsung-Jung Tsai Ching-Min Lin I Nok Cheang Yao-Jen Hsu Chin-Hun Wei Tai-Wai Chin Chin-Yen Wu Wen-Yuan Chang Yu-Wei Fu |
| author_sort | Tsung-Jung Tsai |
| collection | DOAJ |
| description | Background: As surgical techniques progress, laparoscopic herniorrhaphy is now performed more often in premature babies. The aim of this study was to analyze the outcomes of newborns and infants who underwent single-incision laparoscopic herniorrhaphy (SILH) at our center. Methods: We retrospectively reviewed patients younger than 12 months old who received SILH at our department from 2016 to 2020. SILH involved a 5 mm 30-degree scope and 3 mm instruments with a 3-0 Silk purse-string intracorporeal suture for closure of the internal ring. At the time of surgery, Group 1 newborns, whose corrected age was 2 months and below, were compared to the Group 2 infants, whose age was above 2 months. We assessed the patients’ characteristics, anesthesia, surgical data, and complications. Results: A total of 197 patients were included (114 newborns in Group 1 and 83 infants in Group 2). The mean age and body weight in Group 1 were 1.2 months and 3.8 kg, respectively, whereas in Group 2, they were 3.2 months and 6.7 kg, respectively. There were no significant differences in operative time (Group 1 = 34.1 min vs. Group 2 = 32.3 min, <i>p</i> = 0.26), anesthetic time (Group 1 = 80.0 min vs. Group 2 = 76.3 min, <i>p</i> = 0.07), length of hospitalization (Group 1 = 2.3 days vs. Group 2 = 2.4 days, <i>p</i> = 0.88), postoperative complications including omphalitis (Group 1 = 5.3% vs. Group 2 = 1.2%, <i>p</i> = 0.13), wound infection (Group 1 = 0.9% vs. Group 2 = 1.2%, <i>p</i> = 0.81), and hydrocele (Group 1 = 0.35% vs. Group 2 = 8.4%, <i>p</i> = 0.14). No recurrence, testicular ascent or atrophy, or mortality was observed in either group during the 2-year follow-up period. Conclusions: Single-incision laparoscopic herniorrhaphy is a safe and effective operation for inguinal hernia repair in infants, even those with prematurity, lower body weight at the time of surgery, or cardiac and/or pulmonary comorbidities. Comparable results revealed no significant differences in perioperative complications despite younger ages and lower body weights. |
| first_indexed | 2024-03-11T09:47:46Z |
| format | Article |
| id | doaj.art-29b8d6835b2c46dbafc044da0554dd63 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T09:47:46Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-29b8d6835b2c46dbafc044da0554dd632023-11-16T16:26:06ZengMDPI AGDiagnostics2075-44182023-02-0113352910.3390/diagnostics13030529Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and InfantsTsung-Jung Tsai0Ching-Min Lin1I Nok Cheang2Yao-Jen Hsu3Chin-Hun Wei4Tai-Wai Chin5Chin-Yen Wu6Wen-Yuan Chang7Yu-Wei Fu8Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Pediatric Surgery, Department of Surgery, Shuang Ho Hospital, New Taipei City 235, TaiwanDivision of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of Nursing, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of Nursing, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Pediatric Surgery, Department of Surgery, Changhua Christian Hospital, Changhua 500, TaiwanBackground: As surgical techniques progress, laparoscopic herniorrhaphy is now performed more often in premature babies. The aim of this study was to analyze the outcomes of newborns and infants who underwent single-incision laparoscopic herniorrhaphy (SILH) at our center. Methods: We retrospectively reviewed patients younger than 12 months old who received SILH at our department from 2016 to 2020. SILH involved a 5 mm 30-degree scope and 3 mm instruments with a 3-0 Silk purse-string intracorporeal suture for closure of the internal ring. At the time of surgery, Group 1 newborns, whose corrected age was 2 months and below, were compared to the Group 2 infants, whose age was above 2 months. We assessed the patients’ characteristics, anesthesia, surgical data, and complications. Results: A total of 197 patients were included (114 newborns in Group 1 and 83 infants in Group 2). The mean age and body weight in Group 1 were 1.2 months and 3.8 kg, respectively, whereas in Group 2, they were 3.2 months and 6.7 kg, respectively. There were no significant differences in operative time (Group 1 = 34.1 min vs. Group 2 = 32.3 min, <i>p</i> = 0.26), anesthetic time (Group 1 = 80.0 min vs. Group 2 = 76.3 min, <i>p</i> = 0.07), length of hospitalization (Group 1 = 2.3 days vs. Group 2 = 2.4 days, <i>p</i> = 0.88), postoperative complications including omphalitis (Group 1 = 5.3% vs. Group 2 = 1.2%, <i>p</i> = 0.13), wound infection (Group 1 = 0.9% vs. Group 2 = 1.2%, <i>p</i> = 0.81), and hydrocele (Group 1 = 0.35% vs. Group 2 = 8.4%, <i>p</i> = 0.14). No recurrence, testicular ascent or atrophy, or mortality was observed in either group during the 2-year follow-up period. Conclusions: Single-incision laparoscopic herniorrhaphy is a safe and effective operation for inguinal hernia repair in infants, even those with prematurity, lower body weight at the time of surgery, or cardiac and/or pulmonary comorbidities. Comparable results revealed no significant differences in perioperative complications despite younger ages and lower body weights.https://www.mdpi.com/2075-4418/13/3/529prematurenewbornsinfantsinguinal hernialaparoscopyoutcomes |
| spellingShingle | Tsung-Jung Tsai Ching-Min Lin I Nok Cheang Yao-Jen Hsu Chin-Hun Wei Tai-Wai Chin Chin-Yen Wu Wen-Yuan Chang Yu-Wei Fu Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants Diagnostics premature newborns infants inguinal hernia laparoscopy outcomes |
| title | Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants |
| title_full | Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants |
| title_fullStr | Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants |
| title_full_unstemmed | Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants |
| title_short | Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants |
| title_sort | comparing outcomes of single incision laparoscopic herniorrhaphy in newborns and infants |
| topic | premature newborns infants inguinal hernia laparoscopy outcomes |
| url | https://www.mdpi.com/2075-4418/13/3/529 |
| work_keys_str_mv | AT tsungjungtsai comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT chingminlin comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT inokcheang comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT yaojenhsu comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT chinhunwei comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT taiwaichin comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT chinyenwu comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT wenyuanchang comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants AT yuweifu comparingoutcomesofsingleincisionlaparoscopicherniorrhaphyinnewbornsandinfants |