AI Article Synopsis
- Inguinal hernias are a common surgical issue in infants with very low birth weight (under 1,500g), affecting about 16% of this population.
- Recent trends show that most of these hernias are now repaired before the infants leave the neonatal intensive care unit.
- The article outlines important considerations for managing hernias in very low birth weight infants, such as optimal repair timing, anesthesia concerns, risks of complications, and the likelihood of undescended testes.
Article Abstract
Inguinal hernias (IH) are among the most commonly encountered surgical problems in infants with very low birth weight (VLBW, <1,500 g) with a reported incidence of 16%. A trend toward earlier operation has emerged in recent years, with most now being repaired before discharge from the neonatal intensive care unit. The authors review the many special concerns regarding the management of IH in this patient population, including the timing of repair, the risk of incarceration, anesthetic management, the frequency of bilaterality, the high incidence of undescended testes, and the technical aspects and complications associated with IH repair in the VLBW infant.
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| http://dx.doi.org/10.1016/s1055-8586(00)70021-7 | DOI Listing |
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