Scholarlink

Background <p>Chronic postoperative inguinal pain (CPIP) is a major complication after hernia repairs in adults. However, little is known about CPIP in children.</p> Methods <p>Charts of 855 children with an average age of 3.7 years (range, 0–18 years) who underwent laparoscopic percutaneous extraperitoneal closure (LPEC) between April 2016 and December 2023 were reviewed. Pain after one postoperative month (PIP: postoperative inguinal pain) was the primary outcome measure. Of these, pain lasting more than three months was extracted as CPIP.</p> Results <p>Nine children (1.1%, four males and five females) complained of PIP. All four males, having undergone LPEC before puberty, had temporary pain. Among four females with PIP, CPIP occurred in three (0.35%), who were effectively treated with psychiatric approaches in two and by a reoperation to release the round ligament in one.</p> Conclusions <p>CPIP was rare after LPEC in children. Adolescent females were at greater risk of CPIP than younger males. Round ligament pain was the cause in one case.</p> Trial registration <p>This study was approved by the institutional review board of Aichi Medical University (approval number: 2023 − 241).</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Postoperative pain after laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: a single-center retrospective study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月4日

查看全文
  • Shoko Kato,
  • Kenitiro Kaneko,
  • Nozomi Matsushita,
  • Remi Kondo,
  • Yasuyuki Fukami,
  • Tsuyoshi Sano

摘要

Background

Chronic postoperative inguinal pain (CPIP) is a major complication after hernia repairs in adults. However, little is known about CPIP in children.

Methods

Charts of 855 children with an average age of 3.7 years (range, 0–18 years) who underwent laparoscopic percutaneous extraperitoneal closure (LPEC) between April 2016 and December 2023 were reviewed. Pain after one postoperative month (PIP: postoperative inguinal pain) was the primary outcome measure. Of these, pain lasting more than three months was extracted as CPIP.

Results

Nine children (1.1%, four males and five females) complained of PIP. All four males, having undergone LPEC before puberty, had temporary pain. Among four females with PIP, CPIP occurred in three (0.35%), who were effectively treated with psychiatric approaches in two and by a reoperation to release the round ligament in one.

Conclusions

CPIP was rare after LPEC in children. Adolescent females were at greater risk of CPIP than younger males. Round ligament pain was the cause in one case.

Trial registration

This study was approved by the institutional review board of Aichi Medical University (approval number: 2023 − 241).