{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T21:59:46Z","timestamp":1788731986995,"version":"build-2803163510"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>\n            Aim\u2003This article evaluates the practice patterns of European Pediatric Surgeons' Association (EUPSA) members regarding the timing of inguinal hernia (IH) repair in premature infants.<\/jats:p><jats:p>\n            Methods\u2003Online survey containing 29 questions distributed to EUPSA members during January 2023.<\/jats:p><jats:p>\n            Results\u2003A total of 180 responds were received. Overall, IH repair prior to discharge was favored by 60% of respondents when there was a history of incarceration and 56% when there was not. In the case of very\/extremely premature infants (&lt; 32 weeks) with no history of incarceration, fewer (43%) respondents postpone the surgery until after discharge. The majority of respondents cited the risk of incarceration as the reason for advocating surgery prior to discharge, whereas a reduced risk of apnea was the most cited reason for respondents who prefer delayed surgery. Open approach under general anesthesia was favored by 54% of respondents, with 27% of them preferring open approach with spinal anesthesia. Laparoscopic surgery for premature infants is used in 11% while 7% of them preferred in all premature infants including extremely\/very premature ones. Contralateral side evaluation was never done by 40% of respondents and 29% only performed it only during laparoscopic repair. The majority of respondents (77%) indicated that they have an overnight stay policy for premature infants\u2009&lt;\u200945 weeks of gestation.<\/jats:p><jats:p>\n            Conclusion\u2003There is variation in the practice patterns of pediatric surgeons in the treatment of IH in premature infants. Due to the concern for the high risk of incarceration, IH repair before discharge was the most prevalent practice. Lower risk of postoperative apnea was cited as the most common reason for delaying surgery. Randomized studies are required to establish the optimal timing for IH repair in premature infants.<\/jats:p>","DOI":"10.1055\/a-2297-8857","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T23:51:01Z","timestamp":1712101861000},"page":"522-528","source":"Crossref","is-referenced-by-count":9,"title":["European Pediatric Surgeons' Association Survey on Timing of Inguinal Hernia Repair in Premature Infants"],"prefix":"10.1055","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1505-6042","authenticated-orcid":false,"given":"Tutku","family":"Soyer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Pio","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, H\u00f4pital Bic\u00eatre APHP, Paris Saclay University, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Gorter","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam UMC, University of Amsterdam & Vrije Universiteit, Amsterdam, Noord-Holland, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leopoldo","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Hospital La Paz, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8532-2794","authenticated-orcid":false,"given":"Jens","family":"Dingemann","sequence":"additional","affiliation":[{"name":"Centre of Pediatric Surgery, Hannover Medical School and \"Auf der Bult\" Children's Hospital Hannover, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Pederiva","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, \"F. Del Ponte Hospital\" ASST Settelaghi, Varese, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Dariel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, AP-HM, Marseille, Provence-Alpes-C\u00f4te d'Azur, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Zani-Ruttenstock","sequence":"additional","affiliation":[{"name":"Division of General and Thoracic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Riga Stradins University & Children's Clinical University Hospital, Riga, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel J.","family":"Hall","sequence":"additional","affiliation":[{"name":"University Surgery Unit, Faculty of Medicine, University of Southampton, Southampton, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,4,22]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1542\/peds.2012-2008","article-title":"Assessment and management of inguinal hernia in infants","volume":"130","author":"K S Wang","year":"2012","journal-title":"Pediatrics"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1542\/peds.77.2.246","article-title":"Epidemiology of inguinal hernia in preterm neonates","volume":"77","author":"K J Peevy","year":"1986","journal-title":"Pediatrics"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.jpedsurg.2018.11.002","article-title":"Optimal timing for inguinal hernia repair in premature infants: a systematic review and meta-analysis","volume":"54","author":"P Masoudian","year":"2019","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s003830050507","article-title":"Early repair of inguinal hernia in premature babies","volume":"15","author":"S Uemura","year":"1999","journal-title":"Pediatr Surg Int"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/j.1651-2227.2004.tb00681.x","article-title":"Low prevalence of complications of delayed herniotomy in the extremely premature infant","volume":"93","author":"M Gonz\u00e1lez Santacruz","year":"2004","journal-title":"Acta Paediatr"},{"issue":"11","key":"ref6","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.jpedsurg.2022.07.001","article-title":"Delayed versus early repair of inguinal hernia in preterm infants: a systematic review and meta-analysis","volume":"57","author":"C S Choo","year":"2022","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1055\/s-0040-1721420","article-title":"Surgical management of pediatric inguinal hernia: a systematic review and guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee","volume":"32","author":"F Morini","year":"2022","journal-title":"Eur J Pediatr Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s00383-010-2573-x","article-title":"Optimal timing for repair of an inguinal hernia in premature infants","volume":"26","author":"G Vaos","year":"2010","journal-title":"Pediatr Surg Int"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.jpeds.2010.09.047","article-title":"Does timing matter? 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