Olesen Christoffer Skov, Andersen Kristoffer, Öberg Stina, Deigaard Søren Lykke, Rosenberg Jacob
Dan Med J. 2020 Dec 22;68(1):A07200554.
Due to disagreement on optimal timing of inguinal hernia repair in children, we explored how Danish surgeons plan repair in children at different ages and with different symptoms.
A validated questionnaire on timing of inguinal hernia repair in children was sent to all surgeons performing paediatric hernia repair in Denmark. The surgeons were asked how they plan repair of asymptomatic reducible, symptomatic reducible, incarcerated, and strangulated hernias in children aged less than 2, 2-12 and 13-18 years.
Forty-eight surgeons (81%) completed the questionnaire. Answers concerning the timing of repair of reducible and incarcerated hernias varied greatly for all age groups. For reducible hernias, the answers ranged from repairing within one week to considering watchful waiting. For incarcerated hernias, the answers ranged from repair within 12 hours to three months. There was broad agreement on the need for acute repair of strangulated hernias.
Timing of paediatric inguinal hernia repair was inconsistent for children of all age groups and in particular for those with reducible hernias. The results call for a new guideline to ensure consistent and optimal treatment as well as an educational effort about the pros and cons of early and delayed repair.
none.
not relevant.
由于在儿童腹股沟疝修补的最佳时机上存在分歧，我们探讨了丹麦外科医生如何针对不同年龄和不同症状的儿童制定修补计划。
一份经过验证的关于儿童腹股沟疝修补时机的问卷被发送给丹麦所有进行小儿疝修补手术的外科医生。询问这些外科医生他们如何计划为年龄小于2岁、2至12岁以及13至18岁的无症状可复性、有症状可复性、嵌顿性和绞窄性疝患儿进行修补。
48名外科医生（81%）完成了问卷。所有年龄组关于可复性和嵌顿性疝修补时机的回答差异很大。对于可复性疝，回答范围从在一周内修补到考虑观察等待。对于嵌顿性疝，回答范围从在12小时内修补到三个月。对于绞窄性疝需要急诊修补存在广泛共识。
所有年龄组儿童的小儿腹股沟疝修补时机不一致，特别是对于可复性疝患儿。这些结果呼吁制定新的指南以确保一致且最佳的治疗，以及开展关于早期和延迟修补利弊的教育工作。
无。
不相关。
