We have located links that may give you full text access.
Comparative Study
Journal Article
Incidence of Cord Hydrocele After Laparoscopic Intracorporeal Inguinal Hernia Repair in Male Pediatric Patients: A Comparative Study Between Removing and Leaving the Hernial Sac.
Purpose: Many laparoscopic repair techniques are available for treating pediatric inguinal hernias. The development of a cord hydrocele (CH) after laparoscopic pediatric inguinal hernia repair (LPIHR) in male patients can lead to reoperation. We performed the present study to evaluate the effects of hernial sac removal on the occurrence of CH after laparoscopic transabdominal inguinal hernia repair in male patients. Materials and Methods: This retrospective study included 3145 male pediatric patients aged <10 years who underwent LPIHR from January 2014 to March 2017. We categorized patients into two groups according to the operative technique: Group 1 (high ligation without hernial sac removal, 1592 patients) and Group 2 (high ligation with hernial sac removal, 1553 patients). We removed the hernial sacs in the first half of the study period and not in the second half of the study period. We analyzed the surgical outcomes in both groups after the same follow-up period of ≥2.5 years. Results: We found no significant differences in demographic or clinical parameters between the treatment groups. CH occurred in 6 patients in Group 1 only; no patients in Group 2 developed CH (0.38% [6/1592] versus 0.00% [0/1553], respectively; P = .044). The interval from the initial hernia repair to the hydrocelectomy in 6 patients was 20.8 months. The recurrence rate was higher in Group 1 (0.4%, 7/1592) versus Group 2 (0.0%, 0/1553) ( P = .025). In the logistic regression test, Group 2 predicted a lower CH occurrence rate than Group 1 (odds ratio = 1.004, 95% confidence interval = 1.001-1.007; P = .016). Conclusion: Our findings indicated that hernial sac removal resulted in a small but significant decrease in the risk of postoperative CH.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Essential thrombocythaemia: A contemporary approach with new drugs on the horizon.British Journal of Haematology 2024 April 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app