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Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants

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Author(s)
Yu Jeong ChoHyunhee KwonSuhyeon HaSeong Chul KimDae Yeon KimJung-Man NamgoongSo Hyun NamJu Yeon LeeEunyoung JungMin Jeng Cho
Keimyung Author(s)
Jung, Eun Young
Department
Dept. of Surgery (외과학)
Journal Title
Ann Surg Treat Res
Issued Date
2023
Volume
104
Issue
5
Keyword
HerniorrhaphyInguinal herniaPremature infantRespiratory insufficiency
Abstract
Purpose:
We analyzed the timing of inguinal hernia repair in premature infants in the neonatal intensive care unit (NICU) considering recurrence, incarceration, and other complications.

Methods:
In this multicenter retrospective review, premature infants (<37 weeks) in the NICU diagnosed with inguinal hernia between 2017 and 2021 were segregated into 2 groups based on the timing of inguinal hernia repair.

Results:
Of 149 patients, 109 (73.2%) underwent inguinal hernia repair in the NICU and 40 (26.8%) after discharge. Preoperative incarceration did not differ, but complications with recurrence and postoperative respiratory insufficiency were higher in the NICU group (11.0% vs. 0%, P = 0.029; 22.0% vs. 5.0%, P = 0.01). Multivariate analysis showed that the significant factors affecting recurrence were preoperative ventilator dependence and body weight of <3,000 g at the time of surgery (odds ratio [OR], 16.89; 95% confidence interval [CI], 3.45-82.69; P < 0.01 and OR, 9.97; 95% CI, 1.03-95.92; P = 0.04).

Conclusion:
Our results suggest that when premature infants are diagnosed with inguinal hernia in the NICU, inguinal hernia repair after discharge may decrease the odds of recurrence and postoperative respiratory insufficiency. In patients who have difficulty delaying surgery, it is thought that surgery should be performed carefully in a ventilator preoperatively or weighed <3,000 g at the time of surgery.
Keimyung Author(s)(Kor)
정은영
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2288-6796
Source
https://astr.or.kr/DOIx.php?id=10.4174/astr.2023.104.5.296
DOI
10.4174/astr.2023.104.5.296
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44948
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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