Optimal Timing of Inguinal Hernia Repair in Premature Infants: A NSQIP-P Study

Among premature infants, the incidence of inguinal hernias is reported to be as high as 30%. Despite being one of the most commonly performed procedures, the optimal setting of inguinal hernia repair (IHR) that is inpatient versus outpatient remains debatable. We sought to compare the 30-day outcome...

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Bibliographic Details
Published in:The Journal of surgical research 2023-03, Vol.283, p.690-698
Main Authors: Sacks, Marla A., Neal, Dan, Pairawan, Seyed, Tagge, Edward P., Hashmi, Asra, Islam, Saleem, Khan, Faraz A.
Format: Article
Language:English
Subjects:
Child
Hernia, Inguinal - surgery
Herniorrhaphy - adverse effects
Humans
Infant, Newborn
Infant, Premature
Inguinal hernia repair
National Surgical Quality Improvement Program-Pediatric
Postoperative Complications - etiology
Prematurity
Prospective Studies
Retrospective Studies
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Summary:Among premature infants, the incidence of inguinal hernias is reported to be as high as 30%. Despite being one of the most commonly performed procedures, the optimal setting of inguinal hernia repair (IHR) that is inpatient versus outpatient remains debatable. We sought to compare the 30-day outcomes of each approach by querying the National Surgical Quality Improvement Program-Pediatric database. A retrospective cohort study comparing inpatient versus outpatient IHR using the National Surgical Quality Improvement Program-Pediatric database from 2013 to 2019 was performed. Demographic and clinical data were initially compared using univariate analysis. Continuous variables are presented as median and interquartile range and categorical variables are presented as n (%). Subsequently, cohorts were propensity matched using clinically and statistically significant patient characteristics. 928 patients underwent IHR, 634 (68.3%) while inpatient, 294 (31.7%) following hospital discharge. Inpatient IHR was associated with lower age at the time of surgery (120 versus 147 d; P 
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2022.11.011