Published online December 29, 2008
PEDIATRICS Vol. 123 No. 1 January 2009, pp. 332-337 (doi:10.1542/peds.2007-3752)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow View responses
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Koivusalo, A. I.
Right arrow Articles by Pakarinen, M. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Koivusalo, A. I.
Right arrow Articles by Pakarinen, M. P.
Related Collections
Right arrow Surgery
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

ARTICLE

A Single-Blinded, Randomized Comparison of Laparoscopic Versus Open Hernia Repair in Children

Antti I. Koivusalo, MD, PhDa, Reijo Korpela, MDb, Kari Wirtavuori, MDb, Satu Piiparinen, RNb, Risto J. Rintala, MD, PhDa and Mikko P. Pakarinen, MD, PhDa

a Sections of Pediatric Surgery
b Pediatric Anesthesiology, Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland

OBJECTIVE. The role of laparoscopic surgery in pediatric inguinal hernia repair is unclear. We aimed to compare day-case laparoscopic hernia repair with open repair.

METHODS. A prospective, single-blinded randomized study in children aged 4 months to 16 years with unilateral inguinal hernia was performed. The primary outcome measure was the time to normal daily activities after surgery. Secondary outcome measures included postoperative pain, time in the operation room, results, and complications.

RESULTS. Eighty-nine patients were enrolled (laparoscopic hernia repair: 47, open repair: 42). The mean number of days to normal activity after laparoscopic hernia repair and open repair was 2.4 and 2.5, respectively. Thirty-seven (79%) patients with laparoscopic hernia repair and 20 (42%) with open repair required rescue analgesia postoperatively. The median pain score in the second postoperative morning was significantly higher after laparoscopic hernia repair. The median times in the operation room for laparoscopic hernia repair and open repair were 63 and 38 minutes, respectively. Surgical and cosmetic results were similar at up to 2 years' follow-up.

CONCLUSIONS. Recovery and outcome were similar after open repair and laparoscopic hernia repair in children. Laparoscopic hernia repair was associated with increased theater time and postoperative pain.

Key Words: children • inguinal hernia repair • laparoscopy • outcome • complications

Abbreviations: IH—inguinal hernia • OR—open hernia repair • LR—laparoscopic hernia repair • OPS—objective pain scale

Accepted Apr 29, 2008.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 AAP NewsHome page
C. Kemp
Laparoscopic vs. open hernia repair in children
AAP News, April 1, 2009; 30(4): 2 - 2.
[Full Text] [PDF]

Home page
 JWatch PediatricsHome page
Open Repair of Inguinal Hernia Is Best
Journal Watch Pediatrics and Adolescent Medicine, February 25, 2009; 2009(225): 6 - 6.
[Full Text]

eLetters:

Read all eLetters

Should a contralateral PPV be closed at laparoscopic inguinal hernia repair?
Ori Ron, et al.
Pediatrics Online, 8 Mar 2009 [Full text]