Laparoscopic hernia repair in infancy and childhood: evaluation of 2 different techniques

Shalaby, Rafik; Ismail, M.A.; Dorgham, Ahmad; Hefny, Khaled; Al-Saied, Gamal; Gabr, Khaled; Abdelaziz, Mohamad

doi:10.1016/j.jpedsurg.2010.07.004

Cited by 87 publications

(70 citation statements)

References 18 publications

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“…Complete circuit ligation of the hernia sac is important to prevent recurrence. Recurrence was more frequent in a previous report of intraperitoneal suturing closure than in the present study [1,3,21,24]. This fact also supports the importance of complete ligation of the hernia sac.…”

Section: Discussionsupporting

confidence: 88%

“…In previous reports, the operative time for unilateral surgery had a tendency to be equal or longer with laparoscopic repair than with open repair [18][19][20][21]. A comparison between intraperitoneal suturing closure and extraperitoneal closure showed that operative time was shorter in extraperitoneal closure [24]. The present result suggested that LPEC could be the superior procedure with respect to operative time.…”

Section: Discussionsupporting

confidence: 53%

“…The second group is extraperitoneal closure. Recently, there is a trend for increased reports of extraperitoneal closure because of its ease of use and good results [24]. In particular, LPEC, reported by Takehara et al [4], is performed widely in Japan [10,11,[13][14][15].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

et al. 2015

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 53%

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Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

et al. 2015

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“…Open herniotomy is the standard method of treatment based on which other modalities of repair are evaluated. However, in the recent years laparoscopic hernia repair is routinely performed in many centers and its efficacy and safety are well documented [1][2][3][4]. Most of these techniques begin with access through the umbilicus, and both internal rings are evaluated.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Extracorporeal Ligation of the Internal Inguinal Ring by a Spinal Needle: a Simple Method of Hernia Repair in Children

Saha

2015

Indian J Surg

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Laparoscopic repair has emerged recently as an alternative technique for hernia repair in children. Various methods of repair have been described. Basic principle is to close the internal inguinal ring either by intracorporeal or by extracorporeal suturing. The objective of this study is to describe and evaluate the outcome of a simple technique of internal ring closure by a spinal needle. A total of 43 hernias in 41 patients were repaired. A prolene thread was passed percutaneously around the internal inguinal ring by threading it though a spinal needle under laparoscopic control. The suture is then tied extracorporeally in the subcutaneous plane. There were 15 female and 26 male patients in the age group of 1½ to 12 years. Right-sided hernia was present in 31 cases and left-sided hernia in eight cases, and two cases had bilateral hernia. All cases were repaired successfully. There was no intraoperative or postoperative complication. This new technique has all the advantages of laparoscopic hernia repair in children (minimally invasive, less pain, less complication, and cosmesis). In addition, the method is simple and it does not need any special equipment or advanced laparoscopic skill.

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“…2 This article presents a unique technique of extracorporeal ligation of inguinal hernia in a series of movements performed using a percutaneous epidural needle and preperitoneal hydrodissection with minimal injury to the subcutaneous tissues, nerves, and muscles.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Extracorporeal Ligation of Hernia Defects Using an Epidural Needle and Preperitoneal Hydrodissection

Tatekawa

2012

Journal of Endourology

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Purpose: This article presents the extracorporeal ligation of inguinal hernia defects using an epidural needle and preperitoneal hydrodissection. Patients and Methods: Thirteen children underwent laparoscopic extracorporeal ligation of their hernia defect using an epidural needle and preperitoneal hydrodissection. A 5-mm trocar for an operative laparoscope was placed through an infraumbilical incision, a Veress needle for forceps was inserted halfway between the umbilicus and the anterior superior iliac spine on the contralateral side of the hernia, and a 17-gauge epidural needle was inserted at the point of the internal inguinal ring. The hernia defect was closed extracorporeally by a nonabsorbable suture, which was introduced into the abdomen through the epidural needle on the lower half of the hernia defect and withdrawn on the opposite side by a wire-loop through the epidural needle going along the upper half side of the hernia defect in a series of movements. When a contralateral hernia defect is present, laparoscopic-assisted extracorporeal ligation of the contralateral hernia defect is performed during the same operation. Results: All patients were discharged uneventfully from the hospital within 24 hours postoperatively. The mean follow-up period is 6.1 months (range 2-12 mos), and no recurrence has been observed to date. Conclusions: This article describes a unique technique of extracorporeal circuit suturing of inguinal hernia defects using a minimally invasive technique as afforded by an epidural needle.

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Laparoscopic hernia repair in infancy and childhood: evaluation of 2 different techniques

Cited by 87 publications

References 18 publications

Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

Laparoscopic Extracorporeal Ligation of the Internal Inguinal Ring by a Spinal Needle: a Simple Method of Hernia Repair in Children

Laparoscopic Extracorporeal Ligation of Hernia Defects Using an Epidural Needle and Preperitoneal Hydrodissection

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