Review of Neonatal Inguinal Hernia Repairs: A Retrospective Evaluation of 15 Years

Ozen I. O., Moralioglu S., Afsarlar C. E., KARABULUT R., Demirogullari B., TÜRKYILMAZ Z., ...Daha Fazla

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, cilt.29, sa.4, ss.833-836, 2009 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 29 Sayı: 4
  • Basım Tarihi: 2009
  • Dergi Adı: TURKIYE KLINIKLERI TIP BILIMLERI DERGISI
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.833-836
  • Gazi Üniversitesi Adresli: Evet

Özet

Objective: Inguinal hernias require early elective repairs when diagnosed within the first six months of life. In this period, the risk of incarceration increases as the age decreases. The aim of the study was to evaluate perioperative findings and postoperative complications of the inguinal hernias in the newborn period. Material and Methods: The 95 newborns (73 male, 22 female), who were operated for inguinal hernias in our clinic between 1991 and 2005 were retrospectively assessed. Results: The age at diagnosis for male and female patients was 27 days and 28 days, respectively. Inguinal hernia repair was performed unilaterally in 72 patients (75.8%) and bilaterally in 23 patients (24.2%). High ligation was the surgical approach for all patients (right 60, left 12, bilaterally 23, and total 118). 80 patients were operated electively (84.2%) and 15 patients had emergent operation due to incarceration (15.8%). The incarcerated tissues were small or large bowels in 10 patients and ovary in 3 patients. Spontaneous reduction due to general anesthesia ensued in 2 patients. Postoperative early complication was wound infection in 4 patients (26.7%) and postoperative late complication was testicular atrophy in 1 patient (9.1%) in the incarcerated group. Thirteen patients of the electively operated group had sliding hernias. Sliding organ was appendix in 2 patients, ovary in 6 patients, ovary and uterine tubes in 4 patients and round ligament in I patient. Postoperative early complication was wound infection in 2 patients (1.7%) and postoperative late complication was testicular atrophy in I patient (1.2%) in the electively operated group. Neither recurrence nor mortality was seen. Conclusion: Newborn inguinal hernias require early elective repairs because of the high incarceration risks they comprise. Incarceration of newborn hernias not only challenges the surgical practice but also increases the postoperative morbidity.