Comparison study of three laparoscopic ligation procedures for pediatric inguinal hernia: a multicenter cohort of 5523 cases

Luo, Zhongbing; Xiang, X.C; Du, Zhen; Shi, Hongke; Chi, Shuiqing; Yang, Dongtang; Li, K.; Li, S.; Tang, S.T

doi:10.1007/s10029-022-02600-2

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…However, due to the associated high trauma and the failure to explore the contralateral side 3 , laparoscopic surgery rapidly replaced open surgery. Laparoscopic hernia sac ligation has become the primary surgical approach for pediatric inguinal hernia, with various reported methods 10 , 16 , 17 . Laparoscope-assisted Single-needle Percutaneous Extraperitoneal Closure (LSPEC) has gained global acceptance for its rapid and efficient characteristics 4 , 18 .…”

Section: Discussionmentioning

confidence: 99%

Outcomes from a new modified single needle laparoscopic percutaneous extraperitoneal closure and cut off for pediatric inguinal hernia

Zeng,

Pu,

Guo

et al. 2024

Sci Rep

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Inguinal hernia is a prevalent surgical condition in pediatric patients. Despite the efficacy of current treatment modalities, a certain recurrence rate still persists. Hence, our objective in this study is to introduce an innovative surgical technique designed to minimize surgical complications. We conducted a retrospective analysis on 809 pediatric cases that underwent laparoscopic repair with our innovative technique for inguinal hernia from June 2020 to June 2022. Demographic information, perioperative details, and postoperative follow-up outcomes were thoroughly assessed. All surgeries were conducted laparoscopically under general anesthesia. The procedure commenced by encircling the hernia sac with two sutures under laparoscopic guidance. Subsequently, the sac was exteriorized from the body using the two sutures, followed by ligation and excision of the hernia sac. The research findings demonstrate that the duration of unilateral and bilateral procedures was recorded as 15.9 ± 4.8 and 21.7 ± 3.9 min, respectively. Incision infection occurred in 7 patients (0.87%), and Male Complicated Inguinal Hernia (MCIH) was observed in 2 patients (0.23%). Notably, there were no occurrences of iatrogenic cryptorchidism, testicular atrophy, or recurrence (0%) during the follow-up period. In conclusion, our novel modification shows a notable reduction in postoperative recurrence rates and alleviates the impact of the procedure on the positioning of the testis or uterus. This modified technique is both safe and valuable, thus warranting broader adoption and promotion.

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Section: Discussionmentioning

confidence: 99%

Outcomes from a new modified single needle laparoscopic percutaneous extraperitoneal closure and cut off for pediatric inguinal hernia

Zeng,

Pu,

Guo

et al. 2024

Sci Rep

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“…[5][6][7] The hernia ring is ligated by completely laparoscopic intraperitoneal knotting or laparoscopy combined with extraperitoneal knotting using various hernia needles. [8][9] Single-port laparoscopy is used for observation only, without additional Trocar or operating instruments. There is no chopsticks effect caused by instrument collision.…”

Section: Introductionmentioning

confidence: 99%

Green Guidewire Combined with Epidural Needle-Saline Separating Minimize Invasiveness and Optimize Outcomes in Single-Port Laparoscopic Treatment for Pediatric Inguinal Hernia

Lin,

Zeng,

Qiu

et al. 2024

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Green Guidewire Combined with Epidural Needle - Saline Separating Minimize Invasiveness and Optimize Outcomes in Single-Port Laparoscopic Treatment for Pediatric Inguinal Hernia

Lin

Zeng

Qiu

et al. 2022

Preprint

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Purpose: To investigate the application value, feasibility and safety of modified single-port laparoscopic surgery in the treatment for inguinal hernia in children. Methods: 60 cases of children with indirect inguinal hernia admitted from 2019 to 2022 were divided into control group and observation group, with 30 cases in each group. They underwent traditional open high ligation of hernia sac and modified single-port laparoscopic high ligation of hernia sac, respectively. The operation duration, surgical incision size, intraoperative blood loss, postoperative hospital stay, first ambulation time, hospitalization expenses were compared between the two groups, as well as the incidence of surgical complications in two groups. Results: The surgical incision size, intraoperative blood loss, postoperative hospital stay, and first ambulation time of observation group were less than those of control group. There was no significant difference in operation duration or hospitalization expenses between the two groups. Only 1 case in observation group showed suture knot reaction after surgery, with no incision infection, inguinal hematoma, iatrogenic cryptorchidism, etc. The overall incidence of complications in observation group was lower than that of control group. Conclusion: The modified single-port laparoscopic surgery for inguinal hernia in children has the advantages of minimal invasiveness, enhanced recovery, less complications and recurrence, thus should be recommended in clinical application.

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Comparison study of three laparoscopic ligation procedures for pediatric inguinal hernia: a multicenter cohort of 5523 cases

Cited by 3 publications

References 39 publications

Outcomes from a new modified single needle laparoscopic percutaneous extraperitoneal closure and cut off for pediatric inguinal hernia

Outcomes from a new modified single needle laparoscopic percutaneous extraperitoneal closure and cut off for pediatric inguinal hernia

Green Guidewire Combined with Epidural Needle-Saline Separating Minimize Invasiveness and Optimize Outcomes in Single-Port Laparoscopic Treatment for Pediatric Inguinal Hernia

Green Guidewire Combined with Epidural Needle - Saline Separating Minimize Invasiveness and Optimize Outcomes in Single-Port Laparoscopic Treatment for Pediatric Inguinal Hernia

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