Endosurgical treatment of premature infants with inguinal hernias

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Abstract


Introduction. An inguinal hernia is a serious surgical issue in premature infants as this is one of the reasons leading to increased lethality and longer treatment duration. The purpose of the study was to estimate the possibility and effectiveness of endosurgical treatment of inguinal hernias in premature infants.

Material and methods. 705 patients with inguinal hernias aged 0–3 months have been treated at the Center for Surgery of Newborns in Irkutsk during the last 15 years from January 2004 to December 2018. The gestational age of 51 infants was less than 37 weeks. All the patients underwent laparoscopic hernia repair with extracorporeal ligation. During the final stage of the study, demographic data, intra- and postoperative results were compared.

Results. The experience of treating 51 premature infants with inguinal hernias was analyzed. The children were distributed into groups as follows: 1,500–2,500 g for 35 patients, 1,000–1,500 g for 14 patients, less than 1,000 g for 2 patients. The average weight and age was 1,870 g/36.9 days for children with low body weight, 1148.3 g/48.9 days for children with very low body weight and 810 g/69 days for children with extremely low body weight. The average surgery duration ranged from 28.8 min to 35 min. According to the results of the study, increased gestational age and body weight decreases the risk of postoperative apnea from 100% to 11.8%.

Conclusion. It must be noted that minimally invasive surgeries are less traumatic and effective interventions when treating premature infants with inguinal hernias. In infants with premature hernias, a surgery is always associated with the risk of postoperative apnea and AVL dependent on the body weight and gestational age.


About the authors

Yury A. Kozlov

Irkutsk Municipal Pediatric Clinical Hospital; Irkutsk State Medical Academy of Continuing Education; Irkutsk State Medical University Russia

Author for correspondence.
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X

Russian Federation

Dr. Sci.(Med), head of department of neonatal surgery at Irkutsk Municipal Pediatric Clinical Hospital; professor of the department of pediatric surgery at Irkutsk State Medical University Russia; professor of the department of pediatric surgery at Irkutsk State Medical Academy of Continuing Education

Sovetskaya 57, Irkutsk, Russia, 664009; phone: +7(914)009-44-67

Pavel A. Krasnov

Irkutsk Municipal Pediatric Clinical Hospital

Email: fake@neicon.ru

Russian Federation

Polina J. Baradieva

Irkutsk Municipal Pediatric Clinical Hospital

Email: p.baradieva@icloud.com
ORCID iD: 0000-0002-5463-6763

Russian Federation

Pedaitric surgeon at Irkutsk Municipal Pediatric Clinical Hospital

Sovetskaya 57, Irkutsk, Russia, 664009; phone: +7(950)105-04-31

Denis A. Zvonkov

Irkutsk Municipal Pediatric Clinical Hospital

Email: Denis.Zvonkov@mail.ru
ORCID iD: 0000-0002-7167-2520

Russian Federation

Pedaitric surgeon at Irkutsk Municipal Pediatric Clinical Hospital

Sovetskaya 57, Irkutsk, Russia, 664009; phone: +7(950)069-17-47

Chimit B. Ochirov

Irkutsk Municipal Pediatric Clinical Hospital

Email: chimitbator@gmail.com
ORCID iD: 0000-0002-6045-1087

Russian Federation

Surgeon of department of neonatal surgery at Irkutsk Municipal Pediatric Clinical Hospital

Sovetskaya 57, Irkutsk, Russia, 664009; phone: +7(983)241-73-33

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