Appreciate Comments of Esteemed Colleagues.

ARTICLE FOR CRITICAL REVIEW* :* (01.4.20)

In the October 2019 JPS, Chang et all  report *A Large Observational cohort Study of 1700 children operated by both Open and Laparoscopy*

Link: https://www.jpedsurg.org/article/S0022-3468(19)30120-4/fulltext?externalLink=1

Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair.

Chong AJ1, Fevrier HB2, Herrinton LJ3.

Author information

Abstract

BACKGROUND:

Pediatric laparoscopic inguinal hernia repair is not widely accepted.

STUDY DESIGN:

Children 0-14 years who underwent inguinal hernia repair during 2010-2016 at Kaiser Permanente Northern California were classified into five groups: (1) open unilateral repair without contralateral exploration; (2) open unilateral repair with contralateral laparoscopic exploration ("open+explore"); (3) open bilateral repair; (4) laparoscopic unilateral repair; and (5) laparoscopic bilateral repair. Outcomes included ipsilateral reoperation, metachronous contralateral repair, incision time, and complications.

RESULTS:

The study included 1697 children. Follow-up averaged 3.6 years after open (N = 1156) and 2.6 years after laparoscopic (N = 541) surgery. Metachronous contralateral repair was performed in 3.8% (26/683) of patients with open unilateral surgery without contralateral exploration, 0.7% (2/275) of open+explore patients, and 0.9% (3/336) of laparoscopic unilateral patients (p