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Hernia Recurrence
Everything in the library about hernia recurrence — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
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Evidence & Research
4 items
BOB in Ped Surg 2023 - CAPS Winner - Christina Theodorou, MD
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Watch the CAPS winner, Christina Theodorou, MD, present her presentation on "Evaluation of a novel biodegradable polyurethane patch for repair of diaphragmatic hernia in a rat model: a pilot study."
video · Feb 2023
BOB Ped Surg 2023 - Christina Theodorou, CAPS - Presentation
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Watch Christina Theodorou, MD, present her presentation on "Evaluation of a novel biodegradable polyurethane patch for repair of diaphragmatic hernia in a rat model: a pilot study."
video · Feb 2023
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
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Michela Carter, Steven T Papastefan, Yao Tian, Stephen J Hartman, Meredith S Elman , Sara G Ungerleider , Aaron P Garrison , Tolulope A Oyetunji , Matthew P Landman, Mehul V Raval, Seth D Goldstein, Timothy B Lautz Background: Utilization o
video0:51 · Feb 2026
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
Watch →
Michela Carter, Steven T Papastefan, Yao Tian, Stephen J Hartman, Meredith S Elman, Sara G Ungerleider, Aaron P Garrison, Tolulope A Oyetunji, Matthew P Landman, Mehul V Raval, Seth D Goldstein, Timothy B Lautz Background: Utilization of th
video0:51 · Feb 2026
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A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
A nationwide study examined over 53,000 children who had inguinal hernia repair across the United States.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:06 ↗
Approximately 16% of pediatric inguinal hernia repairs in the study were performed laparoscopically.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:13 ↗
The majority of pediatric inguinal hernia repairs in the study were open repairs.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:15 ↗
Laparoscopic inguinal hernia repair had more than 3 times the risk of same-side recurrence compared to open surgery.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:23 ↗
Laparoscopic inguinal hernia repair was linked to fewer future surgeries on the opposite side (metachronous hernias).
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:30 ↗
The findings comparing laparoscopic and open inguinal hernia repair held up after adjusting for hospital differences and patient factors.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:36 ↗
Open inguinal hernia repair has a lower risk of same-side recurrence compared to laparoscopic repair.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:40 ↗
Laparoscopic inguinal hernia repair may reduce the chance of needing surgery on the contralateral side.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:40 ↗
A nationwide study examined over 53,000 children who had inguinal hernia repair across the United States.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:06 ↗
Approximately 16% of the pediatric inguinal hernia repairs in the study were performed laparoscopically.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:13 ↗
The majority of pediatric inguinal hernia repairs in the study were open repairs.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:15 ↗
The study compared two key outcomes: hernia recurrence on the same side and the need for a second hernia operation later on.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:17 ↗
Laparoscopic inguinal hernia repair had more than 3 times the risk of same-side recurrence compared to open surgery.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:23 ↗
Laparoscopic inguinal hernia repair was linked to fewer future surgeries on the opposite side (metachronous hernias).
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:30 ↗
The findings comparing laparoscopic and open inguinal hernia repair held up even after adjusting for hospital differences and patient factors.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:36 ↗
Open inguinal hernia repair has a lower risk of same-side recurrence compared to laparoscopic repair.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:40 ↗
Laparoscopic inguinal hernia repair may reduce the chance of needing surgery on the contralateral side.
Host summaryLizzie Lee summarizing a resource — not the host's own clinical position0:40 ↗
BOB Ped Surg 2023 - Christina Theodorou, CAPS - Presentation
In cases of large congenital diaphragmatic hernia defects, diaphragmatic replacements are used, most commonly synthetic patches such as PTFE or Gore-Tex.
clinicalChristina Theodorou0:00 ↗
Synthetic patches for diaphragmatic hernia repair are associated with significant morbidity including hernia recurrence, bowel obstructions, and chest wall deformities as the child grows.
clinicalChristina Theodorou0:00 ↗
The ideal diaphragm replacement would integrate with native tissue, mechanically match the function of the diaphragm and allow for growth with the child.
opinionChristina Theodorou0:00 ↗
Biodegradable forms of polyurethane have been used in tissue repair recently such as vascular and muscular tissue replacement and have high mechanical strength.
clinicalChristina Theodorou1:00 ↗
The study created 4 mm diaphragmatic defects in rats followed by immediate patch repair, with cohorts of six animals each plus a sham cohort of six rats.
clinicalChristina Theodorou1:00 ↗
Animals were survived for four weeks with fluoroscopic evaluation of diaphragmatic excursion at one and four weeks post-op.
clinicalChristina Theodorou1:00 ↗
No recurrences were seen in either the polyurethane or Gore-Tex cohort at four weeks.
clinicalChristina Theodorou2:00 ↗
At one week post-op, there was no difference in diaphragmatic excursion between sham, Gore-Tex, and polyurethane animals.
clinicalChristina Theodorou2:00 ↗
At four weeks, Gore-Tex had limited diaphragm rise compared to sham, but no difference was found between polyurethane and sham.
clinicalChristina Theodorou2:00 ↗
There were no differences in diaphragmatic excursion between polyurethane and Gore-Tex at any time point.
clinicalChristina Theodorou2:00 ↗
An inflammatory capsule was formed surrounding both polyurethane and Gore-Tex patches.
clinicalChristina Theodorou3:00 ↗
There was no significant difference in the size of the inflammatory capsule between the polyurethane and Gore-Tex cohorts.
clinicalChristina Theodorou3:00 ↗
The study had small numbers of animals in each cohort (six per group), likely under powering detection of significant differences.
clinicalChristina Theodorou3:00 ↗
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