Establishing benchmarks for the outcome of herniotomy in children

The British Journal of Surgery
H D E VogelsS W Beasley

Abstract

Although complication rates following herniotomy in children are low, reported rates vary. The aim of this study was to propose desirable outcome measures that can be used by surgeons to assess the quality of their service. A review of prospectively collected data on all hernias operated on by the Christchurch-based paediatric surgical service was undertaken. Complication rates were determined and compared with those reported in the literature. Rates for children aged 1 year or above were compared with those in children aged less than 1 year. There were 3128 herniotomies performed, with an overall recurrence rate of 0.6 per cent. Wound infections occurred in 0.9 per cent, but were confined to infants aged less than 12 months. The rate of acquired cryptorchidism was 0.4 per cent and testicular atrophy 0.8 per cent in boys. Injury to the vas deferens was recognized in 0.1 per cent. Children under 1 year of age were more likely to develop recurrence than older children (0.9 versus 0.2 per cent respectively; odds ratio 4.56, P = 0.013). Complication rates were relatively low compared with those reported previously, but were considered achievable in most paediatric surgical units. Specific attention should be paid to the youngest in...Continue Reading

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Citations

Nov 16, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ayman Al-JazaeriAbdulrhaman Al-Zahem
Mar 20, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T BisgaardJ Rosenberg
Jan 22, 2013·Journal of Pediatric Surgery·Ayman Al-JazaeriAbdulrahman Alzahem
Feb 2, 2015·Journal of Pediatric Surgery·Spencer W Beasley
Nov 18, 2017·Journal of Paediatrics and Child Health·Spencer W Beasley
Aug 2, 2017·ANZ Journal of Surgery·Liam Quinn, David Read

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