Clinical regression of inguinal hernias in premature infants without surgical repair

Author(s):  
Mark A. Fleming ◽  
David F. Grabski ◽  
Emmanuel L. Abebrese ◽  
Daniel E. Levin ◽  
Sara K. Rasmussen ◽  
...  
2019 ◽  
Vol 6 (9) ◽  
pp. 3375
Author(s):  
Paritosh Gupta ◽  
Amanpriya Khanna ◽  
Chinmay Arora ◽  
Dhruv N. Kundra

Giant inguinal hernias are typically described as those which reach patient’s mid-thigh level in upright position. These present a challenge to the surgeon as surgical repair is technically challenging. Although conventionally open repairs have been done for giant inguinal hernias more recently laparoscopic techniques are being adopted. Total extra peritoneal (TEP) and trans abdominal pre peritoneal (TAPP) are two common laparoscopic approaches used. Here we present a case of a 64-year-old patient with a long standing giant inguinal hernia. Hernia was repaired with a TEP approach and patient’s recovery was satisfactory.


2002 ◽  
Vol 21 (7) ◽  
pp. 39-44 ◽  
Author(s):  
Angela Burd ◽  
Randall Burd

Inguinal hernia repair is one of the most common surgical procedures performed on premature infants. Improved survival rates in the NICU have led to an increase in the incidence of premature infants with inguinal hernias. The NICU nurse, often the first to notice an inguinal hernia in a premature infant, should understand the etiology, basic pathophysiology, and nursing care for this condition.


2018 ◽  
Vol 79 (7) ◽  
pp. 1384-1390
Author(s):  
Minoru TANAKA ◽  
Yuki SEGI ◽  
Haruna KOMATSUBARA ◽  
Daisuke NOGUCHI ◽  
Yoshihiro OKUDA ◽  
...  

Author(s):  
Yury A. Kozlov ◽  
Pavel A. Krasnov ◽  
Polina J. Baradieva ◽  
Denis A. Zvonkov ◽  
Chimit B. Ochirov

Introduction. An inguinal hernia is a serious surgical issue in premature infants as this is one of the reasons leading to increased lethality and longer treatment duration. The purpose of the study was to estimate the possibility and effectiveness of endosurgical treatment of inguinal hernias in premature infants.Material and methods. 705 patients with inguinal hernias aged 0–3 months have been treated at the Center for Surgery of Newborns in Irkutsk during the last 15 years from January 2004 to December 2018. The gestational age of 51 infants was less than 37 weeks. All the patients underwent laparoscopic hernia repair with extracorporeal ligation. During the final stage of the study, demographic data, intra- and postoperative results were compared.Results. The experience of treating 51 premature infants with inguinal hernias was analyzed. The children were distributed into groups as follows: 1,500–2,500 g for 35 patients, 1,000–1,500 g for 14 patients, less than 1,000 g for 2 patients. The average weight and age was 1,870 g/36.9 days for children with low body weight, 1148.3 g/48.9 days for children with very low body weight and 810 g/69 days for children with extremely low body weight. The average surgery duration ranged from 28.8 min to 35 min. According to the results of the study, increased gestational age and body weight decreases the risk of postoperative apnea from 100% to 11.8%.Conclusion. It must be noted that minimally invasive surgeries are less traumatic and effective interventions when treating premature infants with inguinal hernias. In infants with premature hernias, a surgery is always associated with the risk of postoperative apnea and AVL dependent on the body weight and gestational age.


2021 ◽  
Vol 11 (2) ◽  
pp. 56-58
Author(s):  
Vladimir Akimov ◽  
Dmitry Krikunov ◽  
Dmitry Parshin ◽  
Behruz Radzhabov ◽  
Vladimir Senko

The article is devoted to the evolution of fixation methods for synthetic mesh endoprostheses in surgery of inguinal hernias. We have analyzed the data on failures and complications of synthetic implants. We paid a special attention to available techniques, such as endoprostheses fixation without sutures as well as to the fixation using various types of glue. Our review is based on its own experimental and clinical data as well as the data from world's best hospitals. We found that the use of fibrin glue frequently leads to formation of seromas and hematomas, whereas albumin-glutaraldehyde glue may result in abscesses and pyogenic inflammatory infections of surgical sites. The authors pointed out the importance of further research for the optimal fixation of the prosthetic mesh in hernia repair.


PEDIATRICS ◽  
1977 ◽  
Vol 59 (4) ◽  
pp. 636-637
Author(s):  
S. Zoe Walsh

I was interested to read the article by Harper et al. in the July 1975 issue on the incidence of hernias in premature infants weighing 1,000 gm or less at birth. According to these authors, no one thus far has recognized the remarkably high incidence of inguinal hernias (30%) in premature infants weighing less than 1,000 gm. I should like to point out, however, that a high incidence of such hernias in very-low-birth-weight premature infants was reported by Knox1 in 1959 and Walsh2 1962.


2014 ◽  
Vol 112 (3) ◽  
pp. 591-592
Author(s):  
M.A. de Leeuw ◽  
R.S.G.M. Perez

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