Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2017 Jul-Sep;30(3):187-189.
doi: 10.1590/0102-6720201700030006.

COMPARISON BETWEEN INGUINAL HERNIOTOMIES WITH AND WITHOUT INCISING EXTERNAL OBLIQUE APONEUROSIS: A RANDOMIZED CLINICAL TRIAL

[Article in English, Portuguese]
Shahnam Askarpour  1 , Mehran Peyvasteh  1 , Shaghayegh Sherafatmand  1
Affiliations
Randomized Controlled Trial

COMPARISON BETWEEN INGUINAL HERNIOTOMIES WITH AND WITHOUT INCISING EXTERNAL OBLIQUE APONEUROSIS: A RANDOMIZED CLINICAL TRIAL

[Article in English, Portuguese]
Shahnam Askarpour et al. Arq Bras Cir Dig. 2017 Jul-Sep.

Abstract
in English, Portuguese

Background: Inguinal herniotomy is the most common surgery performed by pediatric surgeons.

Aim: To compare the results and complications between two conventional methods of pediatric inguinal herniotomy with and without incising external oblique aponeurosis in terms of recurrence of hernia and other complications.

Methods: This one blinded clinical trial study was conducted on 800 patients with indirect inguinal hernia. Inclusion criterion was children with inguinal hernia. The first group underwent herniotomy without incising external oblique aponeurosis and second group herniotomy with incising external oblique aponeurosis. Recurrence of hernia and other complications including ileoinguinal nerve damage, hematoma, testicular atrophy, hydrocele, ischemic orchitis, and testicular ascent were evaluated.

Results: Recurrence and other complications with or without incising external oblique aponeurosis had no significant difference, exception made to hydrocele significantly differed between the two groups, higher in the incision group.

Conclusion: Herniotomy without incising oblique aponeurosis can be appropriate choice and better than herniotomy with incising oblique aponeurosis. Children with inguinal herniotomy can be benefit without incising oblique aponeurosis, instead of more interventional traditional method.

Racional:: Herniotomia inguinal é a operação mais comum realizada por cirurgiões pediátricos.

Objetivo:: Comparar os resultados e complicações entre dois métodos convencionais de herniotomia inguinal pediátrica, com e sem incisão de aponeurose oblíqua externa, em termos de recorrência de hérnia e outras complicações.

Métodos:: Este estudo cego foi realizado em 800 pacientes com hérnia inguinal indireta. Os critérios de inclusão foram crianças com hérnia inguinal. O primeiro grupo foi submetido à herniotomia sem incisão de aponeurose oblíqua externa e o segundo grupo herniotomia com ela. Foram avaliadas recorrência da hérnia e outras complicações, incluindo lesão do nervo ileoinguinal, hematoma, atrofia testicular, hidrocele, orquite isquêmica e ascensão testicular.

Resultados:: A recorrência e outras complicações com ou sem incisão da aponeurose oblíqua externa não apresentaram diferença significativa, com exceção feita à hidrocele significativamente diferenciada entre os dois grupos, maior no grupo com incisão.

Conclusão:: A herniotomia sem incisão da aponeurose do oblíquo externo pode ser escolha adequada e melhor do que a herniotomia com incisão dela. As crianças com herniotomia inguinal podem ser beneficiadas sem incisão da aponeurose, em vez do método tradicional mais intervencionista.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: none.

References

    1. Askarpour S, Peyvasteh M, Javaherizadeh H. Recurrence and complications of pediatric inguinal hernia repair over 5 years. Ann Pediatr Surg. 2013;9(2):58–60.
    1. Hughes K, Horwood JF, Clements C, Leyland D, Corbett HJ. Complications of inguinal herniotomy are comparable in term and premature infants. Hernia. 2016;20(4):565–569. - PubMed
    1. Jablonski J, Bajon K, Gawronska R. Long-term effects of operative treatment of inguinal hernias in children comparison of different techniques. Przegl Pediatr. 2007;37:44–47.
    1. Kareem A, Juma'a K. Herniotomy in Infants, Children andAdolescents without Disruption ofExternal Ring. World J Laparoscopic Surg. 2009;2(1):13–16.
    1. Kurlan MZ, Wels PB, Piedad OH. Inguinal herniorrhaphy by the Mitchell Banks technique. J Pediatr Surg. 1972;7(4):427–429. - PubMed

Publication types