Laparoscopic herniorrhaphy in girls

Schier, Felix

doi:10.1016/s0022-3468(98)90483-3

Cited by 133 publications

(106 citation statements)

References 9 publications

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“…Recently, laparoscopic inguinal herniorrhaphy has been introduced as an alternative to conventional open repair in children [1][2][3][4][5][6][7]. In our institute, laparoscopic surgery in girls with inguinal hernia was started in 2001 and since then the use of laparoscopic procedures has increased rapidly.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

et al. 2005

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We recently introduced the laparoscopic percutaneous extraperitoneal closure (LPEC) method for the treatment of girls with inguinal hernia. Using the LPEC method, 129 girls underwent laparoscopic herniorrhaphy. A 5 mm laparoscope was inserted via the umbilicus. A 3 mm "snake retractor" was advanced through the lateral abdominal wall to measure the length of the hernia sac and contralateral patent processus vaginalis (PPV), respectively. The hernia sac and PPV were closed at the level of the internal inguinal ring with a 2-0 non-absorbable purse-string suture using Lapaherclosure, a special 19G needle that can hold a suture at the tip. The length of the hernial sac was significantly longer than that of contralateral PPV (mean 41 mm; range 18-70 mm; P < 0.05). There were no serious complications associated with the procedure. No recurrence of hernia or metachronous contralateral hernia has been identified so far. This approach enables us to perform contralateral exploration without any additional techniques, followed by immediate and accurate closure of the hernia sac and PPV. We conclude that the LPEC method is a safe and efficacious procedure with a low recurrence rate that should be viewed as an acceptable alternative to the traditional open approach.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

et al. 2005

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“…[10] The reported recurrence rate for open herniotomy in children ranges from 2 to 6.3% [7], [11], [12] and that for laparoscopic herniorrhaphy from 0.7 to 4.5%.…”

Section: Discussionmentioning

confidence: 99%

Needlescopic inguinal herniorrhaphy in children - A new simplified technique

Shalaby

Fawy

Soliman

et al. 2005

J Indian Assoc Pediatr Surg

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ABSTRACT ABSTRACT ABSTRACTNeedlescopic techniques have been used recently in repairing inguinal hernias (IH), which has made this type of surgery more feasible and less invasive. The technique is being developed further. The objective of this study is to describe and assess the results that can be achieved by using a new simplified techinque (Reverdin needle, RN) in needlescopic inguinal herniorrhaphy (NH) in children. All patients with symptomatic IH confirmed by clinical examination were subjected to elective needlescopic herniorrhaphy. One-hundred and fifty patients with 186 groin hernias, from two hospitals in Egypt and Saudi Arabia, in the period from October 1999 to May 2002, were assinged to NH using RN. The RN was used to insert a purse-string suture around the internal inguinal ring (IIR) to be tied extracorporeally. A total of 186 IH defects in 150 children were repaired successfully. There were 130 males and 20 females with a mean age of 20.58+21 months (range 8-96 months). Right-sided IH was present in 86 patients (57.33%); among these patients, an opened IIR was found and repaired in 12 cases (8%). Left-sided IH was present in 30 cases (20%), bilateral hernia in 19 cases (12.67%), and recurrent IH in 20 cases (10%). The mean duration of surgery was 8.7+1.18 min for unilateral and 12.35+2 min for bilateral hernia repair. No intra or postoperative complications. The mean hospital stay was 7.79+1.28 h. The new technique had all the advantages of needlescopic herniorrhaphy in children (less invasive, less pain, short hospital stay) combined with the advantages of reduced operating time, simplicity, and feasibility. It may be preferable for the intracorporeal suturing and knot tying. However, it needs longterm follow up.

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“…Перші праці M.A. El-Gohary (1997) та F. Schier (1998) з лапароскопічної корекції пахвинних гриж у дітей стосувалися дівчаток, що створило перестороги щодо пошкодження елементів сім'яного канатика в хлопчиків [15,16]. Подальші спостереження та зібраний досвід вказали, що такі оперативні втру-…”

Section: ðåçóëüòàòè òà îáãîâîðåííÿunclassified

Хірургічна Корекція Пахвинних Гриж В Дітей Із Застосуванням Міні-Інвазивного Методу PIRS

Nakonechnyi

Kuzyk

Наконечный

2021

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Ïèòàííÿ äèòÿ÷î¿ õ³ðóðã³¿, ³íòåíñèâíî¿ òåðàï³¿ ³ ðåàí³ìàö³¿ ó ïðàêòèö³ ïåä³àòðà / Questions of Pediatric Surgery, Intensive Care and Resuscitation in Practice of Pediatrician ® ÂñòóïПахвинна грижа (ПГ) -одне із найбільш по-ширених захворювань дитячого віку, що вима-гають хірургічного лікування. Частота пахвин-них гриж у дитячій популяції становить 1-5 %, причому 98 % припадає на косі пахвинні грижі, приблизно 2 % -на прямі та стегнові грижі, що зустрічаються спорадично [1,3]. У недоноше-них новонароджених частота цієї вади зростає до 17 % [11]. У хлопчиків ПГ діагностують зна-чно частіше, аніж у дівчаток -у співвідношенні від 8 : 1 до 10 : 1. Косі ПГ частіше зустрічаються УДК 616-007.43:611.957-053.2-089

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Laparoscopic herniorrhaphy in girls

Cited by 133 publications

References 9 publications

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

Needlescopic inguinal herniorrhaphy in children - A new simplified technique

Хірургічна Корекція Пахвинних Гриж В Дітей Із Застосуванням Міні-Інвазивного Методу PIRS

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