Comparison of Two Laparoscopic Techniques in Management of Pediatric Inguinal Hernias

Duong, Teressa A; Russell, Griffin; Esparaz, Joseph R.; Mortellaro, Vincent E.

doi:10.1089/lap.2022.0102

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Publications describing safety assessments and possible complications in the PIRS method record problems such as recurrence of the hernia, intra-and postoperative bleeding (eg. iliac vessel puncture, inferno epigastric vein injury), stitch abscesses, ecchymosis, persisted postoperative pain, recurrent hydrocele, omental evisceration, keloid scar, swelling of the groin, umbilical incision granuloma, bowel strangulation [1,2,4,5,[8][9][10][11][12]. Another problem with the PIRS approach is a possible conversion to an open surgery which can make the procedure significantly longer, but is rarely performed [9].…”

Section: Discussionmentioning

confidence: 99%

Major Complication Caused by Inguinal Hernia Recurrence After Percutaneous Internal Ring Suturing Procedure in a Patient With Loeys-Dietz Syndrome: A Case Report

Sadecka,

Wolski

2024

Cureus

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Inguinal hernia repair is one of the most frequently performed procedures in pediatric surgery. Treatment methods include classical open repair and laparoscopic approach. In this report we analyze a case of a 14month-old boy with Loeys-Dietz syndrome treated for an inguinal hernia with laparoscopic percutaneous internal ring suturing (PIRS). Two weeks post-operatively the patient was diagnosed with a recurrence of the hernia complicated by an intestine strangulation. As a re-operation of the hernia, the Lichtenstein method was applied successfully. We analyzed the literature to determine the safety and possible contradictions of the PIRS procedure, with particular emphasis on patients with comorbidities such as connective tissue disorders. We conclude that in the PIRS procedure, despite its safety, feasibility and low complication rate in healthy patients, too few studies were made to draw similar conclusions for patients with comorbidities such as connective tissue disorders.

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