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Article: Prospective, randomized, single-center, single-blind comparison of laparoscopic vs open repair of pediatric inguinal hernia

TitleProspective, randomized, single-center, single-blind comparison of laparoscopic vs open repair of pediatric inguinal hernia
Authors
Issue Date2005
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy, 2005, v. 19, p. 927-932 How to Cite?
AbstractBackground: The Repair Of Indirect Inguinal Hernia (Ih) Is One Of The Most Common Pediatric Surgical Procedures, And Open Surgery (Os) Is The Standard Treatment. The Aim Of This Study Was To Determine Whether The Recently Developed Laparoscopic Repair (Lr) Of Ih Is Superior To Os. Methods: Between February 2003 And February 2004, We Randomly Assigned 97 Consecutive Ih Patients At Our Institution Into Os And Lr Groups. Fourteen Pateints Were Excluded From The Study For Various Reasons, Leaving Study Population Of 83 Patients. After Operation, Multiple Dressings Were Placed To Blind Observers To The Operation Type. Two Pain Scales, The Children And Infants Postoperative Pain Were Used To Assess Postoperative Pain. Acetaminophen (15 Mg/Kg/Dose Every 6 H) Was Given At A Fixed Pain Score. Analgesic Doses Were Compared. Parents Also Provided Assessments Of Their Children's Recovery And Wound Appearance. Results: The Amount Of Acetaminophen Taken By The Os Group (N = 42) Was 1.05 ± 1.248 Doses Per Patient, Whereas The Amount Taken By The Lr Group (N = 41) Was 0.54 ± 0.84 Dose Per Patient (P = 0.032; 95% Confidence Interval 0.45-0.976). Laparoscopy Detected 11 More Bilateral Hernias (P = 0.006). Although The Operative Times Did Not Differ Significantly For Bilateral Hernias (39.08 ± 13.37 Min Vs 34.0 ± 11.31 Min, P = 0.623), It Did Differ For Unilateral Hernias (18.38 ± 5.71 Vs 23.25 ± 6.26 Min, P = 0.001). Five Contralateral Hernias Were Detected In The Os Group On Follow-Up, But None Were Found In The Lr Group (P = 0.026). The Scores Given By Parents For Recovery And Wound Appearance Were Higher In The Lr Group (P = 0.05). Conclusions: As Compared With Ih Patients Who Undergo Open Surgery, Those Who Have A Laparoscopic Repair Suffer Less Pain, And Their Recovery And Wound Cosmesis Are More Satisfactory. With Lr, Contralateral Hernias Can Be Detected And Repaired In A Single Operative Procedure. This Procedure Takes Slightly Longer For Unilateral Than For Bilateral Hernias. © Springer Science+Business Media, Inc. 2005.
Persistent Identifierhttp://hdl.handle.net/10722/83596
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KLen_HK
dc.contributor.authorHui, WCen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:42:54Z-
dc.date.available2010-09-06T08:42:54Z-
dc.date.issued2005en_HK
dc.identifier.citationSurgical Endoscopy, 2005, v. 19, p. 927-932en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83596-
dc.description.abstractBackground: The Repair Of Indirect Inguinal Hernia (Ih) Is One Of The Most Common Pediatric Surgical Procedures, And Open Surgery (Os) Is The Standard Treatment. The Aim Of This Study Was To Determine Whether The Recently Developed Laparoscopic Repair (Lr) Of Ih Is Superior To Os. Methods: Between February 2003 And February 2004, We Randomly Assigned 97 Consecutive Ih Patients At Our Institution Into Os And Lr Groups. Fourteen Pateints Were Excluded From The Study For Various Reasons, Leaving Study Population Of 83 Patients. After Operation, Multiple Dressings Were Placed To Blind Observers To The Operation Type. Two Pain Scales, The Children And Infants Postoperative Pain Were Used To Assess Postoperative Pain. Acetaminophen (15 Mg/Kg/Dose Every 6 H) Was Given At A Fixed Pain Score. Analgesic Doses Were Compared. Parents Also Provided Assessments Of Their Children's Recovery And Wound Appearance. Results: The Amount Of Acetaminophen Taken By The Os Group (N = 42) Was 1.05 ± 1.248 Doses Per Patient, Whereas The Amount Taken By The Lr Group (N = 41) Was 0.54 ± 0.84 Dose Per Patient (P = 0.032; 95% Confidence Interval 0.45-0.976). Laparoscopy Detected 11 More Bilateral Hernias (P = 0.006). Although The Operative Times Did Not Differ Significantly For Bilateral Hernias (39.08 ± 13.37 Min Vs 34.0 ± 11.31 Min, P = 0.623), It Did Differ For Unilateral Hernias (18.38 ± 5.71 Vs 23.25 ± 6.26 Min, P = 0.001). Five Contralateral Hernias Were Detected In The Os Group On Follow-Up, But None Were Found In The Lr Group (P = 0.026). The Scores Given By Parents For Recovery And Wound Appearance Were Higher In The Lr Group (P = 0.05). Conclusions: As Compared With Ih Patients Who Undergo Open Surgery, Those Who Have A Laparoscopic Repair Suffer Less Pain, And Their Recovery And Wound Cosmesis Are More Satisfactory. With Lr, Contralateral Hernias Can Be Detected And Repaired In A Single Operative Procedure. This Procedure Takes Slightly Longer For Unilateral Than For Bilateral Hernias. © Springer Science+Business Media, Inc. 2005.en_US
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_US
dc.relation.ispartofSurgical Endoscopyen_HK
dc.titleProspective, randomized, single-center, single-blind comparison of laparoscopic vs open repair of pediatric inguinal herniaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=19&spage=927&epage=932&date=2005&atitle=Prospective,+randomized,+single-center,+single-blind+comparison+of+laparoscopic+vs+open+repair+of+pediatric+inguinal+herniaen_HK
dc.identifier.emailChan, KL: klchan@HKUCC.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s00464-004-8224-3en_US
dc.identifier.pmid15920685-
dc.identifier.scopuseid_2-s2.0-24644477147en_US
dc.identifier.hkuros107031en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-24644477147&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume19en_US
dc.identifier.issue7en_US
dc.identifier.spage927en_US
dc.identifier.epage932en_US
dc.identifier.isiWOS:000231378700013-

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