A novel laparoscopic technique for the repair of pediatric umbilical and epigastric hernias

Albanese, Craig T.; Rengal, Shawn; Bermudez, Dustin M.

doi:10.1016/j.jpedsurg.2005.12.033

Cited by 24 publications

(12 citation statements)

References 10 publications

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“…Although some authors report that elective repair of these abdominal wall defects appears justified, some series report that surgical intervention for infantile epigastric hernias is unnecessary [1,[21][22][23]. In Nyhus and Condon's Hernia, it is reported that it is unnecessary because infantile epigastric hernias resolve spontaneously, similar to infantile umbilical hernias.…”

Section: True or False Herniasmentioning

confidence: 99%

Pathogenesis of the epigastric hernia

Ponten

Somers

Nienhuijs

2012

Hernia

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Section: True or False Herniasmentioning

confidence: 99%

Pathogenesis of the epigastric hernia

Ponten

Somers

Nienhuijs

2012

Hernia

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“…In the past, Albanese et al [2] proposed a laparoscopic technique to epigastric hernia repair. The authors suggested inserting two 3-mm trocars through the lateral abdominal and lower chest wall and performing a complex onehanded intracorporeal suture assisted with a laparoscopic knot pusher.…”

Section: Discussionmentioning

confidence: 99%

Scarless laparoscopic repair of epigastric hernia in children

Moreira-Pinto

Correia‐Pinto

2015

Hernia

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Background Despite the small size of the incision, the scar left by open repair of epigastric hernia in children is unaesthetic. Few laparoscopic approaches to epigastric hernia repair have been previously proposed, but none has gain wide acceptance from pediatric surgeons. In this study, we present our experience with a scarless laparoscopic approach using a percutaneous suturing technique for epigastric hernia repair in children. Methods Ten consecutive patients presenting with epigastric hernia 15 mm or further from the umbilicus were submitted to laparoscopic hernia repair. A 5-mm 308-angle laparoscope is introduced through a umbilical trocar and a 3-mm laparoscopic dissector is introduced through a stab incision in the right flank. After opening and dissecting the parietal peritoneum, the fascial defect is identified and closed using 2-0 polyglactin thread through a percutaneous suturing technique. Intraoperative and postoperative clinical data were collected. Results All patients were successfully submitted to laparoscopic epigastric hernia repair. Median age at surgery was 79 months old and the median distance from the umbilicus to the epigastric defect was 4 cm. Operative time ranged from 35 to 75 min. Every hernia was successfully closed without any incidents. Follow-up period ranges from 2 to 12 months. No postoperative complications or recurrence was registered. No scar was visible in these patients. Conclusion This scarless laparoscopic technique for epigastric hernia repair is safe and reliable. We believe this technique might become gold standard of care in the near future.

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“…No randomized data directly comparing absorbable to non-absorbable sutures in pediatric hernia repairs are available. However, published series that vary in the type of suture material used (Zendejas et al, 2011), all report comparable recurrence rates (Albanese et al, 2006). Our preference has been to use absorbable suture material as we have observed delayed complications in the form of abscess formation with silk sutures used for high ligation of pediatric inguinal hernias (Calkins et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Repair of a traumatic lateral abdominal wall hernia in an 11-year-old boy, using a minimally invasive approach

Iqbal

Peter

Hendrickson

2012

Trauma

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We present the case of an 11-year-old boy who sustained blunt abdominal trauma while bicycling. An abdominal computed tomography scan obtained during his trauma evaluation was suspicious of a rightsided abdominal wall hernia with acute inflammatory changes although there was no palpable mass on physical examination. In follow-up, he was found to have a palpable mass in his right lateral abdominal wall, which enlarged with valsalva. The hernia was repaired primarily using a minimally invasive approach with a 5-mm umbilical cannula and a stab incision over the defect. He was discharged home on the first postoperative day. At 1 year follow-up, he is symptom-free without evidence of recurrence. Lateral abdominal wall hernias in the pediatric patient are uncommon but can result from trauma. Primary repair using a minimally invasive approach is safe and effective in achieving adequate closure.

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A novel laparoscopic technique for the repair of pediatric umbilical and epigastric hernias

Cited by 24 publications

References 10 publications

Pathogenesis of the epigastric hernia

Pathogenesis of the epigastric hernia

Scarless laparoscopic repair of epigastric hernia in children

Repair of a traumatic lateral abdominal wall hernia in an 11-year-old boy, using a minimally invasive approach

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