Zhao Yidan,Shen Zhen,Song Zai,et al. Analyzing risk factors of suture reaction after repairing pediatric indirect hernia.[J].Journal of Clinical Pediatric Surgery,,18():49-53.
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 Analyzing risk factors of suture reaction after repairing pediatric indirect hernia.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 01 Page: 49-53 Column: 论著 Date of publication: 2019-01-20
Author(s):
 Zhao Yidan; Shen Zhen; Song Zai; Sun Song; Chen Gong; Zheng Shan.
 Department of Pediatric Surgery,Municipal Maternity & Child Healthcare Center,Zaozhuang 277100,China
Keywords:
 ; Child;  Laparoscopes;  Hernia; Inguinal;  Reoperation;  Risk Factors
Document code:
A
Abstract:
 ObjectiveTo explore the incidence and risk factors of suture reaction after repairing pediatric inguinal hernia.MethodsFrom July 2015 to June 2016,the clinical data were analyzed retrospectively for 1307 hospitalized cases of inguinal hernia undergoing open herniotomy and laparoscopic hernia repair.The relevant data included demographic profiles,clinical manifestations,allergy history,operative duration and sideness of suture reaction.Followups were conducted for at least 10 months.ResultsThe incidence rate of suture reaction were 2.43% and 0.82% during laparoscopy and open surgery (P=0.052).The clinical manifestations of suture reaction after laparoscopy were subcutaneous nodules (n=11),abscess (n=7) and fistula (n=4).Occurring time was 1 month (n=9.45%),1-6 months (n=9,45%) and after 6 months (n=2,10%).During laparoscopy,the incidence rate of suture reaction using silk line was higher than that using Prolene line (P=0.633).Bilateral hernia reaction rate was higher than that of unilateral hernia (P=0.011).During bilateral hernia surgery,sideness was left (42.86%,6/14),right (42.86%,6/14) and bilateral (14.29%,2/14).Among them,3 curative cases (2 left,1 right) occurred after removing stitches and 2 rightside cases were recurrent.ConclusionSuture reaction is an important complication after laparoscopic repair of pediatric indirect hernia.This condition is common within 1 month postoperation.Bilateral hernia may be a highrisk factor of suture reaction after laparoscopic hernia repair.
Last Update: 2019-01-22