Abstract
In this study, we compared the operative time for unilateral inguinal hernia repair in children performed with either an open approach (OA) or the Percutaneous Internal Ring Suturing (PIRS) method. It was a retrospective chart review of all patients ages 0 to 18 who underwent unilateral inguinal hernia repair in the Department of Pediatric Surgery, Urology and Traumatology of the Regional Hospital in Kielce between January 2011 and December 2018. Patients with bilateral hernias or additional problems were excluded. Of 878 patients qualified for the study, 701 were in the OA group and 177 in the PIRS group. Overall, the time needed to complete the procedure was significantly longer for the OA method. The operative time was longer if the hernia was left-sided (p = 0.024). Analysis by gender showed that operative time was generally longer in males. For both genders, surgery was shorter if the PIRS method was used. For males in the PIRS group the operative time was affected by the location of the hernia, and it was longer for a left-sided hernia. The take-home message is that the PIRS procedure is faster than the OA for inguinal hernia repair in children and it might be considered as a preferred method, especially in females.
Highlights
A congenital inguinal hernia in the pediatric population is one of the most common conditions requiring surgical treatment, with the reported incidence ranging between1% and 5% [1,2,3]
One of the methods for laparoscopic inguinal hernia repair is the Percutaneous Internal Ring Suturing (PIRS) procedure described by Patkowski in 2006 [8,9,10]
The operative time for a unilateral inguinal hernia repair using the video assisted and minimally invasive PIRS method is shorter in comparison to the classical open approach method of surgery for both genders
Summary
A congenital inguinal hernia in the pediatric population is one of the most common conditions requiring surgical treatment, with the reported incidence ranging between1% and 5% [1,2,3]. A congenital inguinal hernia in the pediatric population is one of the most common conditions requiring surgical treatment, with the reported incidence ranging between. A unilateral inguinal hernia is more prevalent than a bilateral one. Inguinal hernia repair in children can be performed using the open or minimally invasive, laparoscopic approach. One of the methods for laparoscopic inguinal hernia repair is the Percutaneous Internal Ring Suturing (PIRS) procedure described by Patkowski in 2006 [8,9,10]. Some of the authors emphasize the superiority of minimally invasive methods in the case of bilateral inguinal hernia repair [11,12,13]. The purpose of our study was to compare the duration of the unilateral inguinal hernia repair depending on the method used
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