{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T20:43:24Z","timestamp":1788468204714,"version":"build-2803163510"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aims of this study were to compare surgical outcomes of conventional open inguinal hernia repair (OR) with laparoscopic repair of inguinal hernia (LR) repair in Indian children operated by a single surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This is a retrospective (historical) nonrandomized cohort study of 1595 children with unilateral inguinal hernia for 10 years. All children who presented with unilateral inguinal hernia were included in this study. The study was divided into two phases of 5 years each, and patients were classified into Group 1 and Group 2. In the first 5 years (Group 1), all the children with unilateral inguinal hernia underwent conventional open repair. Over the next 5 years (Group 2), all the children with unilateral inguinal hernia underwent laparoscopic repair. All the operations were performed by the same surgeon who was well acquainted with laparoscopic surgery. Parameters studied included gender, side of the hernia, time of surgery, incidence of contralateral patent processus vaginalis (PPV), development of metachronous contralateral hernia, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 1595 children with unilateral inguinal hernia were studied. Nine hundred and forty-five patients underwent OR (Group 1), and 650 patients underwent LR (Group 2). The male-to-female ratio in Group 1 was 2.5:1, and in Group 2 was 2.4:1. Right inguinal hernia was present in 59%, whereas 41% had a left inguinal hernia. In Group 1, 8% of children developed metachronous contralateral hernias. In Group 2, the contralateral processus vaginalis was found to be patent in 260 children. However, only 10% (26) of these children developed metachronous contralateral hernia on follow-up. In the present study, a significantly higher recurrence rate (2.5%) was observed in the LR group as compared to the OR group (0.3%). The overall operative time was lesser in the OR group (15 \u00b1 8.4 min) versus LR group (25 \u00b1 10 min).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Only 10% of children with contralateral PPV in our study went on to develop a symptomatic hernia. Hence, we believe that upfront closure of the contralateral PPV with unilateral inguinal hernia may not be necessary. LR has a longer operating time and higher recurrence rates. The choice of technique depends on factors such as the availability of laparoscopic equipment and infrastructure, surgeon\u2019s preference, and expertise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_272_24","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T04:00:14Z","timestamp":1744257614000},"page":"382-386","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Outcomes of Laparoscopic versus Open Inguinal Hernia Repair in Children: A 10-year Single-surgeon Study"],"prefix":"10.4103","volume":"30","author":[{"given":"Amar","family":"Shah","sequence":"first","affiliation":[{"name":"Amardeep Multispecialty Children Hospital and Research Centre, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ria","family":"Sharma","sequence":"additional","affiliation":[{"name":"Amardeep Multispecialty Children Hospital and Research Centre, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anirudh","family":"Shah","sequence":"additional","affiliation":[{"name":"Amardeep Multispecialty Children Hospital and Research Centre, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"R1-20250505","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1007\/s00464-008-9846-7","article-title":"Minimal access surgery of pediatric inguinal hernias: A review","volume":"22","author":"Saranga Bharathi","year":"2008","journal-title":"Surg Endosc"},{"key":"R2-20250505","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/S0022-3468(99)90490-6","article-title":"Laparoscopic treatment of congenital inguinal hernia in children","volume":"34","author":"Montupet","year":"1999","journal-title":"J Pediatr Surg"},{"key":"R3-20250505","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/S0022-3468(98)90483-3","article-title":"Laparoscopic herniorrhaphy in girls","volume":"33","author":"Schier","year":"1998","journal-title":"J Pediatr Surg"},{"key":"R4-20250505","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1089\/10926410252832410","article-title":"Experience with 450 cases of micro-laparoscopic herniotomy in infants and children","volume":"6","author":"Lee","year":"2002","journal-title":"Pediatr Endosurgery Innov Tech"},{"key":"R5-20250505","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1053\/jpsu.2000.9326","article-title":"Laparoscopic surgery of inguinal hernias in children \u2013Initial experience","volume":"35","author":"Schier","year":"2000","journal-title":"J Pediatr Surg"},{"key":"R6-20250505","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1053\/jpsu.2002.30842","article-title":"Laparoscopic inguinal herniorrhaphy in children: A three-center experience with 933 repairs","volume":"37","author":"Schier","year":"2002","journal-title":"J Pediatr Surg"},{"key":"R7-20250505","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1007\/s00464-016-5139-8","article-title":"Twenty-year experience with laparoscopic inguinal hernia repair in infants and children: Considerations and results on 1833 hernia repairs","volume":"31","author":"Esposito","year":"2017","journal-title":"Surg Endosc"},{"key":"R8-20250505","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1007\/s10029-023-02772-5","article-title":"Laparoscopic hernia repair in children: Does recreating the open operation improve outcomes? 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