Adolescent inguinal hernia repair: a review of the literature and recommendations for selective management.
Hernia
; 26(3): 831-837, 2022 06.
Article
em En
| MEDLINE
| ID: mdl-35028731
ABSTRACT
BACKGROUND:
The choice of how to repair inguinal hernias in adolescents has historically been a matter of experience and differed between pediatric surgeons who traditionally performed a high ligation of the sac and general surgeons who typically perform a repair using mesh. This up-to-date review thoroughly examines the subject and discusses the suitability of both types of repairs in this unique age group.METHODS:
A 20-year Pub Med search was performed for the following terms adolescent hernia repair including reports of mesh hernia repair in adolescents and postoperative complications including chronic inguinal pain and recurrences.RESULTS:
The evidence in the literature suggests that while there appears to be no difference between the two types of repairs with regards to recurrence and complications, changes in the pelvic floor physiology in adolescents suggest that a selective, individualized approach can be recommended depending on the size and nature of the presenting pathology.CONCLUSIONS:
A selective approach to the inguinal hernia in adolescent patients based on the size of the defect appears justified.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Dor Crônica
/
Hérnia Inguinal
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
/
Child
/
Humans
Idioma:
En
Revista:
Hernia
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos