Inguinal hernias in premature infants operated on before discharge from the neonatal intensive care unit
D. B. Groff, H. S. Nagaraj and J. B. Pietsch
Sixteen premature infants were operated on during the two-year period from
1981 through 1982 for inguinal hernia prior to discharge from the hospital.
There were no complications from the hernias before surgery and during
administration of anesthesia and postoperative recovery, and no
recurrences, would infections, or testicular atrophy was noted in long-term
follow-up. In contrast to a controlled group of 11 full-term patients of
this same age who were operated on as outpatients, the operating room time,
operation time, and time in the recovery room were significantly increased
for the premature infants. This resulted in a 22% increase in cost for the
correction of the premature inguinal hernias. Analysis of the factors in
repair of these hernias indicates that this increased cost will have to be
accepted as part of the care of premature infants in neonatal intensive
care units.
