Comparative study between purse–string suture and peritoneal disconnection with ligation techniques in the laparoscopic repair of inguinal hernia in infants and children

Oshiba, Ahmed; Ashour, Khaled; Aboheba, Mohamed; Shehata, Sameh; Shalaby, Rafik

doi:10.1097/01.xps.0000481344.06100.70

Cited by 4 publications

(8 citation statements)

References 21 publications

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“…The included studies consisted of ten randomized controlled trials and five prospective comparative studies that were published between 2007 and 2019 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). The total study population included 3680 children who underwent laparoscopic hernia repair using different operation techniques (Table 1).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All patients received general anaesthesia. Two techniques were described by multiple studies: the single port extra-corporeal closing technique and the three port intra-corporeal closing technique (10,14,17,19,22,23). When categorizing the included studies in intra-corporeal or extra-corporeal closure, five studies (n=593 children) compared two intra-peritoneal closing techniques to another, eight studies (n=2784 children) compared two extra-peritoneal closing techniques and two studies (n=303 children) compared intra-peritoneal closure to extra-peritoneal closure of the open processus vaginalis (Table 2).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The studies assessing extra-corporeal repair (n=2942 children) used varying numbers of trocars (none, one, two or three trocars) which also variated in size (three, four or five millimetres trocars). (10,17,19). The All studies (n=3680 children) provided insufficient information to assess the risk of selective reporting.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Ten studies (n=1818 children) compared mean operation time for unilateral and bilateral hernia repair ( Table 5). Four studies only reported a mean operation time of the techniques, not differentiating for unilateral or bilateral repair (11,17,22,25). In the study of Obata et al 16 (19).…”

Section: Duration Of Surgerymentioning

confidence: 99%

“…The studies that assessed intra-corporeal suturing technique reported three patients that suffered a post-operative wound infection, one patient in de the study of Abd-Alrazek et al (n=132 children), one in the study of Borkar et al (n=50 children) and one in the study of Rahman et al (n=70 children in the intra-corporeal intervention group) (10,11,23). Furthermore, a total of five cases of post-operative hematoma/oedema were found in five studies and the intra-corporeal intervention group of the study of Shalaby et al (n=668) (10)(11)(12)(17)(18)(19)). There were no reports of testicular atrophy or iatrogenic testicular ascent in the studies comparing intra-corporeal suturing techniques.…”

Section: Perioperative and Postoperative Complicationsmentioning

confidence: 99%

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Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Maat

Dreuning

Nordkamp

et al. 2021

Journal of Pediatric Surgery

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Duration Of Surgerymentioning

confidence: 99%

Section: Perioperative and Postoperative Complicationsmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Maat

Dreuning

Nordkamp

et al. 2021

Journal of Pediatric Surgery

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Laparoscopic repair of congenital inguinal hernia: a comparative study between purse–string suture and peritoneal disconnection with ligation techniques in bilateral cases

et al. 2020

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Background/purpose Many laparoscopic surgical techniques were described for management of inguinal hernia in pediatric patients. This prospective study was conducted to compare laparoscopic purse-string suture of hernia sac at the internal ring at one side, leaving the distal sac intact (technique I) and disconnection of the hernia sac with intra-corporeal suture of proximal part at the internal ring (technique II) in the other side in the same case. Patients and methods Thirty three patients with bilateral congenital inguinal hernia (66 repairs) were included in this study. The outcome variables were operative time, intraoperative complications, post-operative complications and recurrence rate. Results This study included 28 males and 5 females. The age of the patients ranged from 1 to 72 month with a mean of (15.27 ± 19.09). The operative time was shorter in technique I than in technique II and this difference was statistically significant. No intraoperative complications were reported. Five cases (15%) developed hydrocele and two cases (6%) developed recurrence in technique I during the follow up period. Conclusion Laparoscopic repair of congenital inguinal hernia using laparoscopic disconnection of the sac and closure of the internal ring has lower recurrence rate and hydrocele formation but longer operative time compared to laparoscopic purse-string closure alone. Due to the high rate of recurrence in technique I, there is definite superiority of technique II as a surgical option.

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The monsplasty: Surgical and functional outcomes using an effective and reproducible surgical technique

Hamdi

Waked

Deleuze

et al. 2023

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Comparative study between purse–string suture and peritoneal disconnection with ligation techniques in the laparoscopic repair of inguinal hernia in infants and children

Cited by 4 publications

References 21 publications

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Laparoscopic repair of congenital inguinal hernia: a comparative study between purse–string suture and peritoneal disconnection with ligation techniques in bilateral cases

The monsplasty: Surgical and functional outcomes using an effective and reproducible surgical technique

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