Laparoscopic hernioraphy: a better approach for recurrent hernia in boys?

Yildiz, Abdullah; Çelebi, Süleyman; Akın, Melih; Karadağ, Çetin Ali; Sever, Nihat; Erginel, Başak; Dokucu, Ali İhsan

doi:10.1007/s00383-012-3078-6

Cited by 11 publications

(5 citation statements)

References 27 publications

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“…Thus, several surgeons prefer a “8” shape suturing after pouch suturing in order to strengthen the transversalis fascia. [2] In our experience of huge hernia, the transversalis fascia was observed after suturing the internal ring. If the fascia is still loose, an “8” shape suture was performed as an additional procedure, which was rather feasible in the TLHK procedure.…”

Section: Discussionmentioning

confidence: 99%

“…[1] With the development in technology, several medical centers adopted laparoscopic hernia repair in children as the best option for herniorrhaphy, replacing the open procedure due to minimal invasiveness and better cosmetic effect. [2–7] Three types of laparoscopic approaches are available for hernia repair, 3 ports (conventional laparoscopic hernia repair, CL), 2 ports (TP), and single incision (SIL). CL commonly requires 3 working ports ranging from 3 to 5 mm, and each increasing port might be associated with increasing morbidity and pain.…”

Section: Introductionmentioning

confidence: 99%

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Modified 2-port laparoscopic herniorrhaphy with Kirschner wire in children

Cao

Chen

et al. 2018

Medicine

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Background: Pediatric inguinal hernia is one of the most common diseases in children, and laparoscopy is the main surgical method. This study aims to evaluate the efficacy of a new modified 2-port laparoscopic herniorrhaphy with Kirschner wire (TLHK) for inguinal hernia in children. Methods: A total of 5304 children with inguinal hernia hospitalized at the Jiangmen Center Hospital from June 2003 to May 2016 were enrolled in this retrospective study. Four thousand one hundred thirty-five children underwent TLHK that comprised the observation group, while 1169 received single incision laparoscopy (SIL) as the control group (CG). A propensity score matched cohort study was conducted between these groups. We included all patients who were diagnosed as inguinal hernia and matched comparators with a proportion of 1:1. The propensity score was calculated using logistic regression with forward stepwise selection in 4 variables. The patients’ operative details, intra- and postoperative complications, and postoperative hospital stay were analyzed. The follow-up lasted from 1 month to 2 years. Results: Among 5304 potential patients, the propensity score identified 270 (135 TLHK cases and 135 comparators) patients. The age, sex, body mass index, and the hernia type and location did not differ between CG and TLHK. TLHK group had a shorter operative time (unilateral: 17.4 ± 3.35 minutes vs 20.7 ± 3.71 minutes; bilateral: 20.4 ± 5.17 minutes vs 25.2 ± 5.43 minutes), less complications (2.10% vs 2.65%), lower recurrence rate (0% vs 4.44%), and similar hospital stay (2.3 ± 1.1 vs 2.1 ± 1.3) as compared with CG. No iliac vessel injury, spermatic cord vessels injury, vas deferens injury, or iatrogenic cryptorchidism occurred in either of the groups. Conclusion: TLHK is a safe and feasible treatment for inguinal hernia in children due to less invasion and less recurrence rate than SIL.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified 2-port laparoscopic herniorrhaphy with Kirschner wire in children

Cao

Chen

et al. 2018

Medicine

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“…Conversion to open in single patient was required due to adherent omentum which could not be reduced laparoscopically and operating time was also more than 40 minutes in this patient only. Various authors have reported different conversion rates and it varies from 0 to 10% [21,22]. Laparoscopic repair in recurrent childhood inguinal hernia cases, developed after open repair, avoids entering a fibrotic inguinal canal, making the procedure easier and shorter and hence laparoscopic hernia repair is a good alternative options in recurrent childhood hernia [23].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Herniotomy – A Single Centre Study of 150 Cases

Verma¹

2017

AJCEM

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Pediatric patients presenting as inguinal hernia or congenital hydrocele is common ailment encountered in surgical practice and herniotomy is a very common surgical procedure performed. Open procedure is gradually being replaced by laparoscopic approach because of the distinct advantages of early recovery, short stay and better cosmetic results. 150 pediatric patients of inguinal hernia or congenital hydrocele were subject of this study. These patients were subjected to laparoscopic herniotomy performed at the neck of the sac and proximal part of peritoneum was closed with non-absorbable polypropyelene suture with aspiration of scrotal sac, if required. Average age of patients was 6.5 year with 93.35% male. 70.6% had inguinal hernia and 29.4% had congenital hydrocele). 68% patients had right sided and 10.6% clinically bilateral lesion. Operating time was 25 minutes in unilateral and 34.8 minutes in bilateral procedure. Postoperative stay was 1.06 days. No intraoperative complication was noted. Recurrence rate was 1.33% and conversion rate was 0.66%. Laparoscopic herniotomy is safe, well tolerated and effective procedure with early recovery, short operating time, less postoperative pain, free of complication, shorter post-operative hospital stay and very low recurrence. It can detect contralateral patent processus vaginalis and bilateral closure of it can be done through same approach.

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“…Daha önce başarısız açık cerrahi geçirerek nüks eden inguinal hernilerde, ikincil açık cerrahi girişim, bozulmuş anatomik yapı ve fibrotik değişiklikler nedeniyle, vaz deferens veya testiküler damarların yaralanması açısından artmış riskler taşır. Bu hastalardaki laparoskopik görünüm, cerrahi müdahale yapılmamış hastalardan farksız olduğundan, laparoskopik onarım ek riskler taşımaz (13) .…”

Section: Discussionunclassified