EN
TÜRKÇE
Poster - 304
Evaluation of Recurrence and Complication Rates in Laparoscopic Percutaneous Internal Ring Suturing and Open Hernia Repair in Infants with Indirect Inguinal Hernia
Merve Bülbül Ak 1, Ergun Ergün 2, Aysel Mammadli 2, Ufuk Ateş 2, Meltem Bingöl Koloğlu 2, Ahmet Murat Çakmak 2, Gülnur Göllü 2
1 Ankara Atatürk Sanatoryum Education and Research Hospital, Department of Pediatric Surgery
2 Ankara University Faculty of Medicine, Department of Pediatric Surgery
Purpose:
Inguinal hernias are a common and significant condition in infants and may lead to life-threatening complications. Both open and laparoscopic surgical techniques are viable treatment options. This study aims to compare recurrence and complication rates between open and laparoscopic hernia repair in infants under one year of age.
Methods:
This retrospective study included 320 patients under the age of one who underwent surgical treatment for indirect inguinal hernia. Patients were divided into two groups based on the surgical approach: open or laparoscopic repair. Patient demographics, complications, and recurrence rates were analyzed.
Results:
The mean age of the patients was 3.4 months (range: 0.5–12 months). Laparoscopic repair was performed in 143 patients, while 177 underwent open repair. Six patients initially planned for laparoscopic surgery required conversion to open repair. In the laparoscopic group, the major complication rate was 2.7%, and the minor complication rate was 11.8%. In the open group, major and minor complication rates were 1.6% and 5.6%, respectively. The overall complication rate was significantly higher in the laparoscopic group (p<0.008), primarily due to a higher rate of minor complications (p<0.03). Recurrence rates were 2.5% in the laparoscopic group and 1.3% in the open group, with no statistically significant difference. The average follow-up duration was 25.8 months (range: 2–80) for the laparoscopic group and 64.8 months (range: 1–84) for the open group.
Conclusion:
Although no significant difference was observed in recurrence rates or major complications between the two groups, the higher overall complication rate in the laparoscopic group may be attributed to the relatively recent adoption of the technique and the learning curve associated with it. With increased surgical experience and longer follow-up, outcomes of laparoscopic repair in infants are expected to improve.