Technical refinement of mini-laparoscopic hernia repair in infants and children View Full Text


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Article Info

DATE

2015-08

AUTHORS

Y.-C. Tsai, C. Da Lin, S.-C. Chueh

ABSTRACT

BACKGROUND: In large, long-term series of laparoscopic pediatric groin hernia repairs, the recurrence rate is commonly higher compared with the open herniotomy. Thus, we refined our laparoscopic technique from a simple hernia sac ligation into combined posterior wall repair for pediatric groin hernias. METHODS: Between March 2010 and March 2013, 41 consecutive infants and children with primary inguinal hernia were treated surgically with our refined mini-laparoscopic hernia technique. The mean patient age was 4.5 years. Before hernia repair, there were synchronous bilateral hernias in 4 (9.7 %), left inguinal hernias in 14 (34.2 %) and right inguinal hernias in 23 (56.1 %). The mini-laparoscopic hernia repair was carried out with three 3.5 mm trocar ports including 3 mm telescope and 3 mm instruments. RESULTS: Totally 61 repairs were performed. The mean follow-up period was 12 months. The mean operation time was 45 min. None of the repaired groin hernias had a recurrence or procedure-related complication during the period of follow-up. None of them experienced a chronic pain postoperatively. To date there was no scrotal or testicular complication detected by regular ultrasonographic follow-up. CONCLUSIONS: Our refined laparoscopic technique is a safe and effective method in the management of groin hernias in infants and children with a minimal early recurrence rate. More... »

PAGES

599-604

References to SciGraph publications

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  • 2000-11. Direct inguinal hernias in children: laparoscopic aspects in PEDIATRIC SURGERY INTERNATIONAL
  • 2010-01. Open versus minilaparoscopic herniorrhaphy for children: a prospective comparative trial with midterm follow-up evaluation in SURGICAL ENDOSCOPY
  • 2007-08. Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: report of a new technique and early results in SURGICAL ENDOSCOPY
  • 2004-10. Rare inguinal hernia forms in children in PEDIATRIC SURGERY INTERNATIONAL
  • 2011-02. Fifteen years experience in laparoscopic inguinal hernia repair in pediatric patients. Results and considerations on a debated procedure in SURGICAL ENDOSCOPY
  • 2008-08. Minimal access surgery of pediatric inguinal hernias: a review in SURGICAL ENDOSCOPY
  • 1998-12. Laparoscopic treatment of recurrent inguinal hernia in children in PEDIATRIC SURGERY INTERNATIONAL
  • 2009-02. Characteristics of laparoscopic inguinal hernia recurrences in PEDIATRIC SURGERY INTERNATIONAL
  • 2007-12. The laparoscopic spectrum of inguinal hernias and their recurrences in PEDIATRIC SURGERY INTERNATIONAL
  • 2007-02. Patent processus vaginalis in the adult as a risk factor for the occurrence of indirect inguinal hernia in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10029-014-1327-4

    DOI

    http://dx.doi.org/10.1007/s10029-014-1327-4

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25431255


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    47 schema:description BACKGROUND: In large, long-term series of laparoscopic pediatric groin hernia repairs, the recurrence rate is commonly higher compared with the open herniotomy. Thus, we refined our laparoscopic technique from a simple hernia sac ligation into combined posterior wall repair for pediatric groin hernias. METHODS: Between March 2010 and March 2013, 41 consecutive infants and children with primary inguinal hernia were treated surgically with our refined mini-laparoscopic hernia technique. The mean patient age was 4.5 years. Before hernia repair, there were synchronous bilateral hernias in 4 (9.7 %), left inguinal hernias in 14 (34.2 %) and right inguinal hernias in 23 (56.1 %). The mini-laparoscopic hernia repair was carried out with three 3.5 mm trocar ports including 3 mm telescope and 3 mm instruments. RESULTS: Totally 61 repairs were performed. The mean follow-up period was 12 months. The mean operation time was 45 min. None of the repaired groin hernias had a recurrence or procedure-related complication during the period of follow-up. None of them experienced a chronic pain postoperatively. To date there was no scrotal or testicular complication detected by regular ultrasonographic follow-up. CONCLUSIONS: Our refined laparoscopic technique is a safe and effective method in the management of groin hernias in infants and children with a minimal early recurrence rate.
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