Individualized treatment of pediatric inguinal hernia reduces adolescent recurrence rate: an analysis of 3006 cases
| Autor: | Zhen Yu Zou, Ying Mo Shen, Yu Sheng Nie, Xin Yuan, Jinxin Cao, Jie Chen, Li Sun, Hua Dong Du, Jing Liu, Su Jun Liu, Cheng Bing Chu |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Testicular atrophy Adolescent business.industry Retrospective cohort study Hernia Inguinal General Medicine medicine.disease Surgery Umbilical hernia Inguinal hernia Regimen Hematoma Postoperative Complications Recurrence Hydrocele medicine Secondary Prevention Humans Hernia business Child Herniorrhaphy Retrospective Studies |
| Zdroj: | Surgery today. 50(5) |
| ISSN: | 1436-2813 |
| Popis: | We implemented the individualized treatment (IT) regimen for children with inguinal hernia and the Lichtenstein hernioplasty using an acellular tissue matrix patch (LHAP) for those with high risks. This retrospective study compares the complications of conventional laparoscopic high hernia sac ligation (LHSL) with those of the IT regimen for the management of pediatric inguinal hernia and investigates whether the recurrence rate of inguinal hernias in children treated by IT is lower than that of those treated by LHSL. The subjects of this retrospective study were 3006 children who underwent LHSL or IT for inguinal hernia between February, 2008 and February, 2016 at the Beijing Chao-Yang Hospital (Beijing, China). They comprised 1516 (50.4%) children who underwent LHSL between February, 2008 and December, 2012, and 1490 (49.6%) who underwent IT between January, 2013 and June, 2016. We analyzed the patients' data, including clinical characteristics and postoperative complications. The mean follow-up was 85.31 months for the LHSL group and 43.34 months for the IT group (P |
| Databáze: | OpenAIRE |
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