SURGICAL TRATMENT OF PREMATURE BORN INFANTS WITH GROIN HERNIA AT THE SECOND DEVELOPMENT CARE STAGE
Abstract
The study objective is assessing the results of groin hernia surgical treatment in premature born infants at the second development care stage and identifying the most suitable treatment period and preventive surgery technique. A retrospective analysis of 55 “ex-” premature born infants with groin hernia has been performed. A comparative analysis of surgery outcomes for several time periods (2009 to 2013 and 2014 to 2016). Different surgical approaches and techniques were used. The implementation of new surgical treatment patterns has doubled the number of infants receiving laparoscopic surgery (90.47 %, p < 0.01). The second group patients have been discharged with higher body mass (3 410,00 g) compared to the first group (body mass upon discharging is 2 890.00 g, p < 0.05).
About the Authors
L. D. Belotserkovtseva
Surgut Regional Clinical Prenatal Center; Surgut State University
Russian Federation
Russian Federation
L. V. Kovalenko
Surgut State University
Russian Federation
Russian Federation
I. N. Prisukha
Surgut Regional Clinical Prenatal Center; Surgut State University
Russian Federation
Russian Federation
K. A. Lizin
Surgut Regional Clinical Prenatal Center
Russian Federation
Russian Federation
References
1. Antonoff M. B., Kreykes N. S., Saltsman D. A., Acton R. D. American Academy of Pediatrics Section on Surgery hernia survey revisited // J Pediatr Surg. 2005. № 40 (6). P. 1009-1014.
2. Baird R., Gholoum S., Laberge J. M., Puligandla P. Prematurity, not age at operation or incarceration, impacts complication rates of inguinal hernia repair // J Pediatr Surg. 2011. № 46 (5). P. 908-911.
3. Dronov A. F., Kotlobovsky V. I., Poddubny I. V. Laparoscopic surgery in children: the real way to improve the results of treatment // Endoscopic surgery in children : matt. symp. Ufa, 2002. P. 41-45.
4. Lee S. L., Gleason J. M., Sydorak R. M. A critical review of premature infants with inguinal hernias: optimal timing of repair, incarceration risk, and postoperative apnea // J Pediatr Surg. 2011. № 46 (1). Р. 217-220.
5. Vaos G., Gardikis S., Kambouri K., Sigalas I., Kourakis G., Petoussis G. Optimal timing for repair of an inguinal hernia in premature infants // Pediatr Surg Int. 2010. № 26 (4). Р. 379-385.
6. Lautz T. B., Raval M. V., Reynolds M. Does timing matter? A national perspective on the risk of incarceration in premature neonates with inguinal hernia // J Pediatr. 2011. № 158 (4). Р. 573-577.
7. Zamakhshary M., To T., Guan J., Langer J. C. Risk of incarceration of inguinal hernia among infants and young children awaiting elective surgery // CMAJ. 2008. № 179 (10). Р. 1001-1005.
8. Kozlov Y. A. Novozhilov V. A., Krasnov P. A. et al. Comparative analysis of 569 cases of laparoscopic and open inguinal herniorrhaphy in children during the first three months of life // Annals of Surgery. 2013. № 4. P. 24-29.
9. Misra D. Inguinal hernias in premature babies: wait or operate? // Acta Paediatr. 2001. T. 90. № 4. Р. 370-371.
10. Allen G. S., Cox C. S. Jr., White N., Khalil S., Rabb M., Lally K. P. Postoperative respiratory complications in ex-premature infants after inguinal herniorrhaphy // J Pediatr Surg. 1998. № 33 (7). Р. 1095-1098.
11. Walther-Larsen S., Rasmussen L. S. The former preterm infant and risk of postoperative apnoea: recommendations for management // Acta Anaesthesiol Scand. 2006. № 50 (7). Р. 888-893.
12. Веркашинская О. В., Павлинова Е. Б. Эпидемиологические аспекты бронхолегочной дисплазии на современном этапе // Вестник СурГУ. Медицина. 2014. № 3 (21). С. 24-28.
13. Gallagher T. M., Crean P. M. Spinal anaesthesia in infants born prematurely // Anaesthesia. 1989. № 44 (5). Р. 434-436.
14. Williams J. M., Stoddart P. A., Williams S. A. R. et al. Post-operative recovery after inguinal herniotomy in ex-premature infants: comparison between sevoflurane and spinal anaesthesia // Br J Anaesth. 2001. № 86. Р. 366-371.
15. Schebenkov M. V. Endovideosurgical treatment of children with abnormal vaginal processus peritoneum // Pediatric Surgery. 2002. № 4. Р. 24-27.
16. Schier F., Montupet P., Esposito C. Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs // J Pediatr Surg. 2002. № 37 (3). Р. 395-397.
17. Geiger J. D. Selective Laparoscopic Probing for a contralateral patent Processus vaginalis reduces the need for contralateral exploration in inconclusive cases // J Pediatr Surg. 2000. V. 35. № 8. P. 1151-1154.
18. Marulaiah M., Atkinson J., Kukkady A., Brown S., Samarakkody U. Is contralateral exploration necessary in preterm infants with unilateral inguinal hernia? // J Pediatr Surg. 2006. № 41 (12). P. 2004-2007.
Review
For citations:
Belotserkovtseva L.D., Kovalenko L.V., Prisukha I.N., Lizin K.A. SURGICAL TRATMENT OF PREMATURE BORN INFANTS WITH GROIN HERNIA AT THE SECOND DEVELOPMENT CARE STAGE. Vestnik SurGU. Meditsina. 2017;(2 (32)):11-18. (In Russ.)
Views:
107
Email this article 
