Comparison of inguinal hernia repair outcomes between open and laparoscopic approaches in a pediatric population: a retrospective cohort study
10.4174/astr.2026.110.6.400
- Author:
Wahyudhy ADRIANSYAH
1
;
Aditya Rifqi FAUZI
;
Verrell Christopher AMADEUS
;
Tiara Putri LEKSONO
;
Qisthinadia Hazhiyah SETIADI
;
Andi DWIHANTORO
;
Dwihantoro MAKHMUDI
;
Gunadi
Author Information
1. Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital, Yogyakarta, Indonesia
- Publication Type:ORIGINAL ARTICLE
- From:Annals of Surgical Treatment and Research
2026;110(6):400-404
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Many studies compared the outcomes of hernia repair in children between open and laparoscopic techniques.However, the results still need to be clarified. Moreover, the reports from developing countries are also limited.
Methods:We compared the outcomes of hernia repair between the open and laparoscopic techniques in children and associated them with risk factors.
Results:We involved 92 children, consisting of laparoscopy (36 males and 10 females) and open (42 males and 4 females) methods. There was a significant difference between 2 groups regarding the gestational age and age at surgery (both P < 0.001). Laparoscopy had a shorter length of stay (LOS) than the open group (1.09 ± 0.28 days vs. 1.37 ± 0.57 days, P = 0.004), while the duration of surgery was similar in both groups (P = 0.801). Multivariate analysis revealed no significant association between the recurrence of hernia and risk factors, including the surgical procedure, sex, age at surgery, and prematurity (P > 0.05).
Conclusion:Laparoscopic surgery might have a beneficial effect on shorter LOS compared with open hernia repair. None of the risk factors is significantly associated with hernia recurrence after repair. A further prospective multicenter study with a larger sample size is necessary to clarify our findings.
