Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia

Background: Considering that complications and outcome of each method of pediatric inguinal hernia repair are one of the determinants for pediatric surgeons for selection of the appropriate surgical technique, we compared the early and late complications of two inguinal repair techniques, with and w...

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Main Authors: Masoud Nazem, Mohamad Masoud Heydari Dastgerdi, Motaherh Sirousfard
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2015;volume=20;issue=12;spage=1172;epage=1176;aulast=Nazem
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author Masoud Nazem
Mohamad Masoud Heydari Dastgerdi
Motaherh Sirousfard
author_facet Masoud Nazem
Mohamad Masoud Heydari Dastgerdi
Motaherh Sirousfard
author_sort Masoud Nazem
collection DOAJ
description Background: Considering that complications and outcome of each method of pediatric inguinal hernia repair are one of the determinants for pediatric surgeons for selection of the appropriate surgical technique, we compared the early and late complications of two inguinal repair techniques, with and without opening the external oblique muscle fascia. Materials and Methods: In this double-blind clinical trial study, boy children aged 1-month to 6 years with diagnosed inguinal hernia were included and randomly allocated into two groups for undergoing two types of hernia repair techniques, with and without opening the external oblique muscle fascia. Surgical complications such as fever, scrotal edema and hematoma, and wound infections classified as early complication and recurrence, testis atrophy and sensory impairment of inguinal area classified as late complications. The rates of mentioned early and late complications were compared in the two interventional groups. Results: In this study, 66 patients were selected and allocated to the two interventional groups. The prevalence of early and late complications in two studied groups were not different significantly in two interventional groups (P > 0.05). Operation time was significantly shorter in inguinal repair techniques without opening the external oblique muscle fascia than the other studied technique (P = 0.001). Conclusion: The findings of our study indicated that though early and late complications of the two repair methods were similar, but the time of procedure was shorter in herniotomy without opening the external oblique muscle, which considered the superiority of this method than inguinal hernia repair with opening the external oblique muscle.
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spelling doaj.art-c369e8aca8af46a2ab3d2ee2b19e5fe12022-12-21T18:11:33ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362015-01-0120121172117610.4103/1735-1995.172985Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fasciaMasoud NazemMohamad Masoud Heydari DastgerdiMotaherh SirousfardBackground: Considering that complications and outcome of each method of pediatric inguinal hernia repair are one of the determinants for pediatric surgeons for selection of the appropriate surgical technique, we compared the early and late complications of two inguinal repair techniques, with and without opening the external oblique muscle fascia. Materials and Methods: In this double-blind clinical trial study, boy children aged 1-month to 6 years with diagnosed inguinal hernia were included and randomly allocated into two groups for undergoing two types of hernia repair techniques, with and without opening the external oblique muscle fascia. Surgical complications such as fever, scrotal edema and hematoma, and wound infections classified as early complication and recurrence, testis atrophy and sensory impairment of inguinal area classified as late complications. The rates of mentioned early and late complications were compared in the two interventional groups. Results: In this study, 66 patients were selected and allocated to the two interventional groups. The prevalence of early and late complications in two studied groups were not different significantly in two interventional groups (P > 0.05). Operation time was significantly shorter in inguinal repair techniques without opening the external oblique muscle fascia than the other studied technique (P = 0.001). Conclusion: The findings of our study indicated that though early and late complications of the two repair methods were similar, but the time of procedure was shorter in herniotomy without opening the external oblique muscle, which considered the superiority of this method than inguinal hernia repair with opening the external oblique muscle.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2015;volume=20;issue=12;spage=1172;epage=1176;aulast=NazemChildrencomplicationherniotomyinguinal hernia
spellingShingle Masoud Nazem
Mohamad Masoud Heydari Dastgerdi
Motaherh Sirousfard
Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
Journal of Research in Medical Sciences
Children
complication
herniotomy
inguinal hernia
title Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
title_full Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
title_fullStr Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
title_full_unstemmed Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
title_short Outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
title_sort outcomes of pediatric inguinal hernia repair with or without opening the external oblique muscle fascia
topic Children
complication
herniotomy
inguinal hernia
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2015;volume=20;issue=12;spage=1172;epage=1176;aulast=Nazem
work_keys_str_mv AT masoudnazem outcomesofpediatricinguinalherniarepairwithorwithoutopeningtheexternalobliquemusclefascia
AT mohamadmasoudheydaridastgerdi outcomesofpediatricinguinalherniarepairwithorwithoutopeningtheexternalobliquemusclefascia
AT motaherhsirousfard outcomesofpediatricinguinalherniarepairwithorwithoutopeningtheexternalobliquemusclefascia