Pediatric inguinal hernias, are they all the same? A proposed pediatric hernia classification and tailored treatment

Hernia : the Journal of Hernias and Abdominal Wall Surgery
Sameh ShehataAhmed Elrouby

Abstract

To propose a new clinical classification for pediatric inguinal hernias modified from a similar classification system for adult inguinal hernia and to propose a tailored repair for each type. The impact of this approach on hernia recurrence will be assessed. This prospective and retrospective cross-sectional study was conducted in two tertiary teaching university hospitals in Egypt (Alexandria and Tanta University Children's Hospitals) from January 2013 to December 2014 on children below 12 years of age with indirect inguinal hernias who were divided into two groups: (a) prospective group I, classified according to our proposed pediatric hernia classification and tailored treatment (PHCTT) into types: pediatric Nyhus 1 (PNI) assigned for herniotomy alone, pediatric Nyhus II (PNII) assigned for herniotomy plus deep ring narrowing, and type pediatric Nyhus III (PNIII) assigned for herniotomy plus posterior wall repair. (b) Retrospective unclassified group II where all cases were assigned to herniotomy alone (open). Data about patient characteristics, assigned hernia type, operative findings, procedures done, and postoperative complications were documented and analyzed by comparing the outcomes of the two groups. A total of 371 pa...Continue Reading

References

Feb 22, 2003·Journal of Pediatric Surgery·Akira TokiSun Wei
Oct 10, 2003·The Surgical Clinics of North America·Robert M Zollinger
May 4, 2005·Journal of Pediatric Surgery·Steven H BorensteinJacob C Langer
Jan 11, 2007·Seminars in Pediatric Surgery·Stanley T LauMichael G Caty
Feb 13, 2008·The Surgical Clinics of North America·Mary L Brandt
Sep 26, 2012·Pediatrics·Kasper S WangUNKNOWN Section on Surgery, American Academy of Pediatrics
Dec 28, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S M K ShehataA M Hassan
Jul 12, 2013·Einstein·Paulo KassabCarlos Alberto Malheiros
Apr 25, 2018·Journal of Pediatric Surgery·Kathryn TaylorSamuel E Rice-Townsend

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