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- Title
The Status of Laparoscopic Inguinal Hernia Surgery in Children: A Nationwide Assessment.
- Authors
Schmedding, Andrea; Alsweed, Ahmad; Muensterer, Oliver; Leonhardt, Johannes
- Abstract
Inguinal hernia repair (IHR) is a common procedure in childhood. Laparoscopic IHR has been evolving for the last three decades. Although clear advantages have been shown, adaptation in Germany has been slow. We aim to study the current status of pediatric laparoscopic IHR. A survey was sent to all 89 pediatric surgical departments in Germany on current practices and preferences of open versus laparoscopic IHR. Two nationwide databases of administrative claims data from 2019 were analyzed and correlated with responses from the survey. A total of 56% of the pediatric surgical departments supplied data through the quality reports. The recall of our survey was 58% of all pediatric surgery departments. According to the pooled data, laparoscopic IHR was performed in 8.2% of all inpatients treated. Laparoscopic IHR was considered a training procedure in 48% of the departments. Five different laparoscopic techniques were described (most commonly percutaneous closure of the hernia under laparoscopic vision). The choice between open and laparoscopic IHR was mainly determined by the child's age. Currently, only a minority of German children undergo inguinal hernia repair by laparoscopy. More training opportunities in the form of hands-on and video workshops may lead to more widespread employment of the laparoscopic technique.
- Subjects
GERMANY; ATTITUDES of medical personnel; MINIMALLY invasive procedures; LAPAROSCOPIC surgery; MEDICAL care; DECISION making in clinical medicine; INGUINAL hernia; PEDIATRIC surgery; CHILDREN
- Publication
Children, 2022, Vol 9, Issue 3, p348
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children9030348