Key result
Laparoscopic repair of pediatric inguinal hernia is emerging as a promising alternative to standard open surgery, though definitive evidence on optimal timing and contralateral exploration remains lacking.
This review discusses current trends in pediatric inguinal hernia management, including laparoscopic repair, anesthetic management, and timing of surgery.
May support laparoscopic evaluation in select pediatric cases; leaves timing and contralateral exploration unresolved for prospective trials.
Inguinal hernia repairs in one of the most common surgical procedures in the pediatric population. Its diagnosis is made easily and the repair is usually performed by open surgery and with low complications rates. However, a substantial number of topics concerning anesthetic management, the precise time of operation especially in premature and high-risk infants, and the need of contralateral exploration have not yet been resolved. Recently, the introduction of laparoscopic repair seems to play a significant role regarding the safety, the examination and possible simultaneously repair of the contralateral groin, and the better cosmetic results. In this review, the current trends of the above mentioned topics will be discussed.
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Zavras et al. (2014) conducted a review in Inguinal Hernia. Inguinal hernia management was evaluated. Laparoscopic repair of pediatric inguinal hernia is emerging as a promising alternative to standard open surgery, though definitive evidence on optimal timing and contralateral exploration remains lacking.
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