Review articleLaparoscopic vs open herniorrhaphy in the management of pediatric inguinal hernia: a systemic review and meta-analysis☆
Section snippets
Literature search
Because the current study was a systemic review and meta-analysis based on the published articles, the consents of patients and approval of internal review boards were not included. All published studies until July 30, 2010, were searched with the terms laparoscopy, laparoscopic herniorrhaphy, pediatric inguinal hernia, and open herniorrhaphy from Medline (using PubMed as the search engine), Embase, Ovid, Web of Science, and Cochrane databases, without lower date limit. After identifying
Study characteristics
One hundred thirty-eight studies were initially found to report the LH in the management of PIH using the keywords laparoscopy and pediatric inguinal hernia. One hundred twenty-eight studies were published as complete articles and 10 as abstracts. After screening all titles and abstracts, the number of studies was reduced to 37 by limiting the inclusion criteria as laparoscopic herniorrhaphy, open herniorrhaphy, and pediatric inguinal hernia. After independent review, 23 publications dealing
Discussion
In recent years, LH has been evolved as a minimally invasive technique for PIH [7], [8]. In some centers, inguinal hernias have been treated routinely by the laparoscopic method, which is possible to discover the contralateral inguinal orifice [15]. Recent evidences show the feasibility of laparoscopic operations for incarcerated inguinal hernia [22], [23] and elective and complicated inguinal hernias [22]. Some authors prefer the reduction of incarcerated or irreducible inguinal hernia under
Acknowledgment
This work was supported by the National Natural Science Foundation of China (no. 30200284, no. 30600278, no. 30772359, no. 81071997, no. 81072073), Program for New Century Excellent Talents in University (NCET-06-0641), Scientific Research Foundation for the Returned Overseas Chinese Scholars (2008-889), and Fundamental Research Funds for the Central Universities (2010JC025).
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Supported by the National Natural Science Foundation of China (no. 30200284, no. 30600278, no. 30772359, no. 81071997, no. 81072073), Program for New Century Excellent Talents in University (NCET-06-0641), Scientific Research Foundation for the Returned Overseas Chinese Scholars (2008-889), and Fundamental Research Funds for the Central Universities (2010JC025).
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Yang C. and Zhang H. contributed equally to this work.