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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2025; 17(5): 103151
Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.103151
Published online May 27, 2025. doi: 10.4240/wjgs.v17.i5.103151
Risk factors for recurrence after open neonatal hernia repair: A single-center, retrospective study
Yue-Zhi Zhao, Department of Surgical Anesthesia, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang 050000, Hebei Province, China
Hui-Ling Kang, Department of Neonatology, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang 050000, Hebei Province, China
Author contributions: Kang HL designed research and analyzed data; Zhao YZ performed research, contributed new reagents or analytic tools, and wrote the paper.
Institutional review board statement: The study was reviewed and approved by the Shiazhuang Maternal and child Health Hospital Institutional Review Board (No. 202123).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data supporting the findings of this study are available from the corresponding author upon reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hui-Ling Kang, Department of Neonatology, Shijiazhuang Maternal and Child Health Hospital, No. 396 Youyi Street, Qiaoxi District, Shijiazhuang 050000, Hebei Province, China. khl1391366132@163.com
Received: January 10, 2025
Revised: February 26, 2025
Accepted: April 8, 2025
Published online: May 27, 2025
Processing time: 132 Days and 18.3 Hours
Revised: February 26, 2025
Accepted: April 8, 2025
Published online: May 27, 2025
Processing time: 132 Days and 18.3 Hours
Core Tip
Core Tip: This retrospective study investigated recurrence after open neonatal hernia repair and identified low birth weight, anemia, and persistent postoperative pain as independent risk factors. Notably, persistent postoperative pain - a previously overlooked factor - was revealed as a novel predictor of recurrence. A nomogram integrating these variables demonstrated excellent predictive power (area under the curve = 0.875), offering clinicians an accessible tool to identify high-risk neonates and tailor postoperative care to reduce recurrence and improve prognosis.