Assessment of the delayed repair of uncomplicated inguinal hernias in infants

Simple item page
dc.contributor.authorBotes, S. N.en_ZA
dc.contributor.authorEdge, J.en_ZA
dc.contributor.authorApffelstaedt, J. P.en_ZA
dc.contributor.authorSidler, D.en_ZA
dc.date.accessioned2022-03-23T13:08:43Z
dc.date.available2022-03-23T13:08:43Z
dc.date.issued2020-03
dc.descriptionCITATION: Botes, S. N. et al. 2020. Assessment of the delayed repair of uncomplicated inguinal hernias in infants. South African Journal of Surgery, 58(1), 18-21, doi:10.17159/2078-5151/2020/v58n1a3056en_ZA
dc.descriptionThe original publication is available at: http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0038-23612020000100007en_ZA
dc.description.abstractBACKGROUND: Potential strangulation of infant inguinal hernias is the main indication for their urgent repair. Lack of theatre time delays repair and prolongs hospitalisation. We report a series of patients with uncomplicated hernias who were discharged home to have their elective surgery at a later stage and assessed the outcomes of this approach METHODS: A retrospective audit was performed of all infants with an inguinal hernia from January 2010 to June 2015. Incomplete records and infants operated after their first birthday were excluded. Two groups were identified; immediate surgery for infants with uncomplicated hernias, and delayed surgery for infants with uncomplicated hernias. Incarceration/ strangulation rates in the interim period were documented for the delayed group, and comparison made between the groups regarding perioperative and anaesthetic complications and length of postoperative hospital stay RESULTS: The mean time delay between diagnosis and repair was 8.78 weeks. None of the hernias in the delay group strangulated while awaiting repair. There was no significant difference in the perioperative complications between the two groups. Out ofthe 70 cases in the immediate repair group, there was 7 (10%) surgical and 4 (5.7%) anaesthetic complications. The delayed group (169 infants) had 8 (4.7%) surgical and 6 (3.6%) anaesthetic complications. The incarceration rate after being discharged home was 4.1%. This group of infants had no anaesthetic or surgical complications. Length of hospital stay postoperatively was 1.43 days in the immediate group and 1.3 in the delayed group (p = .485 CONCLUSION: Delayed repair, up to 2 months later, for uncomplicated infant hernia carries a small risk of incarceration but does not increase the rate of strangulation or other complicationsen_ZA
dc.description.versionPublisher's version
dc.format.extent4 pagesen_ZA
dc.identifier.citationBotes, S. N. et al. 2020. Assessment of the delayed repair of uncomplicated inguinal hernias in infants. South African Journal of Surgery, 58(1), 18-21, doi:10.17159/2078-5151/2020/v58n1a3056
dc.identifier.issn2078-5151 (online)
dc.identifier.issn0038-2361 (print)
dc.identifier.otherdoi:10.17159/2078-5151/2020/v58n1a3056
dc.identifier.urihttp://hdl.handle.net/10019.1/124353
dc.language.isoen_ZAen_ZA
dc.publisherMedpharmen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectInguinal hernia -- Infantsen_ZA
dc.subjectIncarcerationen_ZA
dc.subjectPerioperative -- complicationsen_ZA
dc.titleAssessment of the delayed repair of uncomplicated inguinal hernias in infantsen_ZA
dc.typeArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
botes_assessment_2020.pdf
Size:
284.7 KB
Format:
Adobe Portable Document Format
Description:
Main article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Research Articles (Paediatrics and Child Health)