High recurrence rate of children’s inguinal hernia after percutaneous internal ring suturing: a single-center study

Kilda, Artūras; Beržanskis, Mindaugas; Lukošiūtė-Urbonienė, Aušra; Malcius, Dalius; Barauskas, Vidmantas

doi:10.1007/s10029-020-02316-1

Cited by 14 publications

(10 citation statements)

References 11 publications

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“…Recurrence rate is one of the most important outcome measures in PIH operation. It has been demonstrated that recurrence rates after open PIH repair and standard 3 port laparoscopic hernia repair ranged from 0.5 to 4% and 0.7 to 4.5%, respectively ( 8 , 13 , 20 ). In the present study, no cases of recurrence were recorded in patients receiving TUSLIC after a mean follow-up of 9.8 months.…”

Section: Discussionmentioning

confidence: 99%

“…PIRS has satisfactory cosmesis and the advantage of identifying the patency of the contralateral processus vaginalis. However, it has been reported that PIRS had relatively higher rates of postoperative complications and recurrence ( 13 ). In the present study, we have established a new approach for PIH repair: transumbilical single-site laparoscopic intraperitoneal closure (TUSLIC) of IIR with a single instrument.…”

Section: Introductionmentioning

confidence: 99%

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Transumbilical Single-Site Laparoscopic Intraperitoneal Closure of the Internal Inguinal Ring for Pediatric Inguinal Hernia

Zhang

et al. 2022

Front. Pediatr.

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BackgroundA new novel technique for pediatric inguinal hernia (PIH) repair, namely, transumbilical single-site laparoscopic intraperitoneal closure (TUSLIC) of the internal inguinal ring (IIR) with a single instrument, was introduced. The short-term follow-up of TUSLIC for PIH was compared with that of transabdominal multiple-site laparoscopic extraperitoneal closure (TAMLEC) for PIH.MethodsDescriptive variables, perioperative clinical features, and short-term outcomes were retrospectively analyzed and compared between the patients who underwent TUSLIC and those who underwent TAMLEC.ResultsIn total, 289 patients were enrolled in this study. Of these, 190 patients received TUSLIC, and 99 patients received TAMLEC. The descriptive variables (including sex, age, weight, and preoperative diagnosis of patients) were comparable between the two groups (P-values were 0.12, 0.71, 0.69, and 0.23, respectively). The mean operative times for unilateral hernia repair and bilateral hernia repairs in TAMLEC group were significantly less than those in TUSLIC group (P < 0.01). The values of surgical site infection, umbilical bleeding, testicular atrophy, iatrogenic ascent of the testis, and secondary hydrocele were not significantly different between the two groups. There were no suture granulomas, and recurrence occurred in TUSLIC group, though at a significantly lower rate than in TAMLEC group (P < 0.05).ConclusionsTUSLIC is a feasible, safe, and reliable minimally invasive method for PIH. Compared with TAMLEC, TUSLIC has the advantages of minimized complications and a low recurrence rate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transumbilical Single-Site Laparoscopic Intraperitoneal Closure of the Internal Inguinal Ring for Pediatric Inguinal Hernia

Zhang

et al. 2022

Front. Pediatr.

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“…In addition, the procedure allows for exploration of the contralateral inguinal region, which can be performed simultaneously in children with an occult hernia. Performing ligation reduces the chance of reoperation and reduces pain in children[ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Multifactor study of efficacy and recurrence in laparoscopic surgery for inguinal hernia

Chen¹,

Deng²,

Xu³

et al. 2021

WJCC

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BACKGROUND Inguinal hernia is a common clinical manifestation in children with a low self-healing rate. AIM To determine the effect of laparoscopic surgery on indirect inguinal hernia and the risk factors for postoperative recurrence and to provide a reference for the clinical treatment and prevention of recurrence. METHODS We selected 360 children who underwent laparoscopic high ligation in our hospital as the laparoscopic group and 120 patients treated for inguinal hernia with conventional surgery as the control group. The operation time, blood loss, incision length, hospitalization time, total hospitalization cost and surgical complications were compared between the two groups. According to telephone follow-up or return visits, the children who had recurrence within 2 years after the operation in the laparoscopic group were analyzed, and the laparoscopic high ligation hernia sac level was analyzed by the logistic multifactor method. Ligation was used to treat recurrence in children with inguinal hernia. RESULTS The operation time, blood loss, length of incision, and length of hospital stay in the laparoscopic group were lower than those in the control group ( P < 0.05). The total hospitalization cost in the laparoscopic group was higher than that in the control group ( P < 0.05). The operative complication rate was 1.67% lower than that in the control group (12.50%) ( P < 0.05). In 360 children with laparoscopic high ligation of the hernia sac, 14 patients had recurrence within 2 years after surgery. After analysis, 14 cases in the recurrence group did not recur. The preoperative incarceration rate, inner ring diameter, ligature use and age difference were statistically significant ( P < 0.05). According to logistic regression multivariate analysis, an inner ring diameter ≥ 1.0 cm, the use of an absorbable ligature line and age > 3 years increased the risk of postoperative recurrence in children with inguinal hernia after laparoscopic high ligation of the hernia sac ( P < 0.05). CONCLUSION Laparoscopic surgery for indirect inguinal hernia in children has the advantages of low trauma and a rapid postoperative recovery. An inner ring diameter ≥ 1.0 cm, the use of absorbable ligature, and age > 3 years may increase the risk of recurrence after laparoscopic high ligation of the hernia sac.

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“…Wolak and Patkowski reported the average PIRS time of 31.6 minutes for bilateral, and 28.2 (15-45) minutes for unilateral hernias [19]. For Lipskar the average operative time was 37 ± 10 minutes [20].…”

Section: Discussionmentioning

confidence: 99%

“…It seems that among numerous techniques for treatment of inguinal hernias during childhood in the last decade, the one-port laparoscopic technique of internal ring suturing represents a very competitive achievement regarding this issue [18,19].…”

Section: Introductionmentioning

confidence: 99%

The laparoscopic repair of inguinal hernia in female children in the Republic of North Macedonia

Risteski

2021

Srp Arh Celok Lek

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Introduction/Objective. Laparoscopic inguinal hernia repair in children is a minimally invasive method, and with its safety, feasibility and excellent cosmesis is an acceptable alternative in comparison with open repair. Methods. This is a prospective clinical study, with national data of 49 female children aged 1-14, treated via laparoscopic approach. Operative time, time to verticalization (normal position in bed, standing/walking), hospital stay, nausea, pain and cosmetic effects (size and visibility of mark), were elaborated. Results. The results revealed that 5 (10.2%) children had a family history of inguinal hernia. A total of 29 (59.2%) children had hernia located on the right side, 19 (38.8%) on the left side and 1 (2%) on both sides. The average diametar of the inguinal opening was 3 ? 2.17 cm. Sixteen children (32.7%) had presence of hidden hernia. The average operation time of the unilateral intervention was 29.5 ? 6.8 min, and for bilateral hernias it was 43.6 ? 7.2 minutes. The average length of hospitalization was 14.1 ? 3.1 hours, and the time needed for a full return to a normal position in bed was 2.6 ? 0.6 hours. The average length of scar in the right, as well as in left groin region was 2.2 ? 0.4 mm. A total of 46 (93.9%) parents/guardians were satisfied by the aesthetic look, while 3 (6.1%) had no particular opinion regarding this question. Conclusion. The introduction of laparoscopic surgery in the treatment of inguinal hernia is a promising method, which plays an important role as an alternative surgical technique because of the minimal invasiveness of the technique and improved recovery of the children.

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High recurrence rate of children’s inguinal hernia after percutaneous internal ring suturing: a single-center study

Cited by 14 publications

References 11 publications

Transumbilical Single-Site Laparoscopic Intraperitoneal Closure of the Internal Inguinal Ring for Pediatric Inguinal Hernia

Transumbilical Single-Site Laparoscopic Intraperitoneal Closure of the Internal Inguinal Ring for Pediatric Inguinal Hernia

Multifactor study of efficacy and recurrence in laparoscopic surgery for inguinal hernia

The laparoscopic repair of inguinal hernia in female children in the Republic of North Macedonia

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