Results of treatment of inguinal hernias in premature infants

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Abstract

BACKGROUND: The conditions of premature infants are increasingly part of the daily routine of pediatric surgeons. Inguinal hernia is one of the typical conditions in this group of patients. However, no unified and secure patient data curation algorithm has been developed in Russia or worldwide.

AIM: The aim of the study was to evaluate the outcomes of early versus delayed surgical strategies for planned hernia repair in premature infants.

MATERIALS AND METHODS: A retrospective study conducted between 2012 and 2021 included 82 premature infants divided into two groups, with surgery performed in early lactation in 58 (70.7%) patients and at 50 postconceptional weeks in 24 (29.3%) patients.

RESULTS: In group 1, weight and postconceptional age of the children were significantly lower, 941.6 ± 463.5 g and 38.6 ± 3.1 weeks vs. 1458.8 ± 798.6 g and 54.9 ± 10.8 weeks (significance level p = 0.0004 and p = 0.0001, respectively). Faster surgery was reported for delayed herniorrhaphy. The duration of surgery was 59.2 ± 23.7 min in group 1 and 32.1 ± 18.1 min in group 2 (p = 0.0001). There were no differences in intraoperative complications between two groups. Oxygen dependence in the postoperative period was observed in 5 children (8.6%) in the early surgery group and in one child (4.2%) in the second group (p = 0.6656). The total time spent in the hospital after surgery in group 2 was significantly less than in group 1. The mean number of bed days after surgery was 29.7 ± 31.2 in group 1 and 1.6 ± 2.1 in group 2 (p = 0.0023).

CONCLUSIONS: Therefore, surgical treatment of inguinal hernia in premature infants after 50 weeks of postconceptional age is technically easier than surgery in the early stage of breastfeeding. It may reduce the risk of intraoperative complications, the potential for postoperative respiratory distress, the risk of postoperative complications, the duration of surgery, and the total length of hospital stay of an infant after herniorrhaphy.

About the authors

Pavel M. Pavlushin

State Novosibirsk District Clinical Hospital; Novosibirsk State Medical University

Email: pavlushinpav@mail.ru
ORCID iD: 0000-0002-6684-5423
SPIN-code: 6893-6854
Russian Federation, Novosibirsk; Novosibirsk

Aleksandra A. Mironova

Novosibirsk State Medical University

Email: mironova_a_a99@mail.ru
ORCID iD: 0009-0007-1053-3168
SPIN-code: 9818-3830
Russian Federation, Novosibirsk

Aleksey V. Gramzin

State Novosibirsk District Clinical Hospital; Novosibirsk State Medical University

Email: dxo-26@yandex.ru
ORCID iD: 0000-0001-7338-7275

MD, Cand. Sci. (Medicine)

Russian Federation, Novosibirsk; Novosibirsk

Mikhail A. Axelrov

Tyumen State Medical University

Email: akselerov@mail.ru
ORCID iD: 0000-0001-6814-8894
SPIN-code: 3127-9804

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Tyumen

Igor N. Prisukha

Surgut Clinical Perinatal Center

Email: lvkhome@yandex.ru
ORCID iD: 0000-0001-5724-8996
SPIN-code: 6712-2892

MD, Cand. Sci. (Medicine)

Russian Federation, Surgut

Yuri Yu. Koynov

State Novosibirsk District Clinical Hospital

Email: doctor2012@inbox.ru
ORCID iD: 0000-0002-9528-0601
SPIN-code: 6650-7710
Russian Federation, Novosibirsk

Artem A. Tratonin

State Novosibirsk District Clinical Hospital; Novosibirsk State Medical University

Email: artem7496@mail.ru
ORCID iD: 0000-0001-8457-9731
SPIN-code: 2786-4101
Russian Federation, Novosibirsk; Novosibirsk

Vladislav N. Tsyganok

State Novosibirsk District Clinical Hospital

Email: vlad1kksu@gmail.com
ORCID iD: 0000-0003-1176-6741
SPIN-code: 7536-5976
Russian Federation, Novosibirsk

Artur A. Glazkov

State Novosibirsk District Clinical Hospital; Novosibirsk State Medical University

Email: dr.glazkov.artur@yandex.ru
ORCID iD: 0000-0002-4964-6860
Russian Federation, Novosibirsk; Novosibirsk

Pavel V. Trushin

State Novosibirsk District Clinical Hospital; Novosibirsk State Medical University

Email: tpv1974@rambler.ru
ORCID iD: 0000-0002-5251-8851
SPIN-code: 1168-7317

MD, Dr. Sci. (Medicine); Assistant Professor

Russian Federation, Novosibirsk; Novosibirsk

Yurii V. Chikinev

State Novosibirsk District Clinical Hospital; Novosibirsk State Medical University

Author for correspondence.
Email: chikinev@inbox.ru
ORCID iD: 0000-0002-6795-6678
SPIN-code: 9782-1047

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Novosibirsk; Novosibirsk

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