Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Zani, A; Eaton, S; Hoellwarth, M; Puri, P; Tovar, J; Fasching, G; Bagolan, P; Lukac, M; Wijnen, R; Kuebler, J; Cecchetto, G; Rintala, R; Pierro, A.
Management of pediatric inguinal hernias in the era of laparoscopy: results of an international survey.
Eur J Pediatr Surg. 2014; 24(1):9-13
Doi: 10.1055/s-0033-1354586
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- Co-authors Med Uni Graz
- Höllwarth Michael
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- Abstract:
- The aim of the study is to present views of pediatric surgeons on the optimal approach to inguinal hernias in children. A questionnaire was submitted to participants of EUPSA-BAPS 2012 and it was returned by 187 responders (85% senior surgeons) from 46 (27 European) countries. Approximately 80% of the responders work in centers treating more than 100 cases/year. Approximately 79% of the responders routinely perform laparoscopy for other conditions, but of these, only 22% of the responders routinely perform laparoscopic inguinal hernia repair. Open approach is preferred by 83% of the responders. Of these, 79% of the responders favor unilateral approach, 12% of the responders contralateral, and 9% of the responders contralateral laparoscopic exploration via hernial sac. Considered advantages are the less risk of recurrence (66%), less abdominal organ injury (31%), less vas/vessel injury (25%), and speed (16%). Laparoscopic approach is preferred by 17% of the respondents, of whom 58% perform laparoscopy at all ages, 15% only in younger than 1-year-old infants. Approximately 81% of the responders offer laparoscopy to both sexes, and 17% only in girls. Only 15% would do laparoscopy after incarceration. Purse string is the most popular (58%), then laparoscopic-guided percutaneous closure (28%), "flip-flap" (6%), or other techniques (8%). Proficiency is achieved after 50 (14%), 25 (48%), 10 (32%), or 5 (6%) laparoscopic hernia repairs. Considered advantages are less metachronous contralateral hernias (57%), better cosmesis (41%), easier technique (34%), less vas/vessel injury (31%), and less postoperative pain (22%). A total of 50 responders are planning to start laparoscopic hernia repairs. Most pediatric surgeons favor open unilateral inguinal hernia repair. The role of laparoscopy in inguinal hernias is still controversial and yet to be accepted even amongst pediatric surgeons expert in laparoscopy. Georg Thieme Verlag KG Stuttgart · New York.
- Find related publications in this database (using NLM MeSH Indexing)
- Child -
- Child, Preschool -
- Clinical Competence -
- Congresses as Topic -
- Cross-Cultural Comparison -
- Data Collection -
- Europe -
- Female -
- Hernia, Inguinal - diagnosis
- Hernia, Inguinal - surgery
- Herniorrhaphy - education
- Herniorrhaphy - methods
- Herniorrhaphy - statistics & numerical data
- Humans -
- Infant -
- Laparoscopy - education
- Laparoscopy - methods
- Laparoscopy - statistics & numerical data
- Learning Curve -
- Male -
- Postoperative Complications - prevention & control
- Secondary Prevention -
- Surveys and Questionnaires -
- Suture Techniques - education
- Utilization Review - statistics & numerical data
- Find related publications in this database (Keywords)
- herniotomy
- herniorrhaphy
- minimal invasive surgery
- Europe