Inguinal hernia repair in children: Surgical technique

Roux, Fabien Le; Lipsker, A.; Mesureur, S.; Haraux, Élodie

doi:10.1016/j.jviscsurg.2015.12.006

Cited by 3 publications

(2 citation statements)

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“…In children, the surgical treatment for inguinal hernia (IH) is limited to division and ligation of the hernial sac at the internal inguinal ring without narrowing the ring [21]. The standard open technique with an anterior approach, used in unilateral hernia repair, as described by Le Roux et al [22], has been reported to have no significant differences regarding hospital stay, time to resume full activity, recurrence rate, and complications such as hydrocele, wound infection, scrotal edema, erythema, and testicular atrophy. However, this approach was found to be inferior compared to a laparoscopic approach regarding bilateral pediatric inguinal hernia (PIH) repair [23].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Velásquez-Bueso

Sánchez-Sierra²,

Villeda-Rodríguez³

et al. 2019

Case Reports in Surgery

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Introduction. Inguinal hernia is the most common condition in both male and female subjects. Amyand’s hernia is characterized by the presence of the cecal appendix, swollen or not, inside the inguinal hernia sac. It is a rare condition and represents 1% of all the inguinal hernia pathology. Littre’s hernia (LH) is a condition defined by the presence of a Meckel diverticulum (MD) inside a hernial sac. It is an extremely rare condition, with less than 50 cases reported in the last three hundred years, present in only 1% of all diagnosed MD. Case Presentation. A six-year-old male patient presented with a history of two bilateral protruding masses in the inguinal-scrotal region that have continued to grow since birth. No gastrointestinal symptoms were reported. Physical examination showed a bilateral inguinoscrotal mass which increased in size during the Valsalva maneuver. Surgical intervention was carried out with a bilateral hernia repair being performed under an anterior method, the surgical invagination of the MD within the small intestine and the appendix within the caecum. Conclusion. Both entities should be considered as a differential diagnosis when it comes to a pediatric patient with unilateral or bilateral inguinal hernias with an uncertain etiology, allowing an early diagnosis and prompt treatment. We present here the first recorded case of both Amyand’s hernia and Littre’s hernia presenting simultaneously in a pediatric patient.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Velásquez-Bueso

Sánchez-Sierra²,

Villeda-Rodríguez³

et al. 2019

Case Reports in Surgery

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“…The problem of approaching appropriate surgical treatment of inguinal hernia in children requires an extensive review of the embryological developmental and anatomical aspects of the inguinal canal and hernial sac [1,2] .…”

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confidence: 99%

Considerations on Embryology, Anatomy and Classification of Inguinal Hernias in Children

Fedoruc

2024

ijmsdh

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Appropriate surgical treatment of inguinal hernia in children requires an extensive review of the embryological developmental and anatomical aspects of the inguinal canal and hernial sac. The given paper represents a broad survey of data from the literature, predominantly from recent years, and incorporates information on the knowledge of anatomy, embryology and classification of inguinal hernias, which have direct clinical implication in surgery for hernia, hydrocele and undescended testis in children.

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Is contralateral inguinal exploration necessary in preterm girls undergoing inguinal hernia repair during the first months of life?

Demouron¹,

Delforge²,

Buisson³

et al. 2018

Pediatr Surg Int

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Inguinal hernia repair in children: Surgical technique

Cited by 3 publications

References 1 publication

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Simultaneous Presentation of a Right Littre’s Hernia and a Left Amyand’s Hernia in a School-Aged Patient

Considerations on Embryology, Anatomy and Classification of Inguinal Hernias in Children

Is contralateral inguinal exploration necessary in preterm girls undergoing inguinal hernia repair during the first months of life?

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