Laparoscopic management of recurrent inguinal hernia in childhood

Shalaby, Rafik; Ismail, M.A.; Gouda, Samir; Yehya, Abdel Aziz; Gamaan, Ibrahim; Ibrahim, Refaat; Hassan, Sayed; Alazab, Ahmad

doi:10.1016/j.jpedsurg.2015.07.015

Cited by 22 publications

(18 citation statements)

References 25 publications

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“…We lacked the data to calculate the lag time from first repair to the detection of the recurrence. However, since the median time from first repair to repair of the recurrence was 0.7 years (8 months) in our series, the time from first repair to the detection of recurrence is probably close to 3.6 and 6 months, as reported by Grimsby et al 16 and Shalaby et al, 14 respectively. In our series, recurrent hernia was evident in less than 1 week after repair in 10% of patients, which indicate a technical error or mishap during the primary repair in these patients.…”

Section: Recurrent Inguinal Hernia Authors Experiencesupporting

confidence: 84%

“…Technical errors such as inadvertent release of a ligature closing the sac or internal ring, failure to completely ligate a large hernia sac, multiple ruptures of the sac during surgical dissection, cutting of the thread through the ligated tissue, repair under too much tension, too distal ligation of the hernia sac in open repair and, in laparoscopic repair, use of absorbable sutures, repair under tension, and failure to include in the repair the area between the inner orifice and epigastric vessels, also contribute to subsequent recurrence. [13][14][15][16] Manifestation of a recurrent pediatric inguinal hernia is often an inguinal or scrotal bulging not unlike the one that existed before the first hernia repair. However, sometimes the recurrent hernia is incarcerated.…”

Section: Incidence Predictive Factors and Manifestation Of Recurrenmentioning

confidence: 99%

“…In laparoscopic repair, some authors recommend technical variations including saline injection-assisted dissection, percutaneous suturing techniques, complete or near complete division of the hernia sac, narrowing of the internal ring or repairs using the muscular arch, the iliopubic tract, and the umbilical ligaments. 14,[18][19][20][21] Whether these surgical measures produce generally repeatable good results remains to be seen. A recurrent inguinal hernia can also be perfectly well repaired in an open operation.…”

Section: Management Of Recurred Inguinal Herniasmentioning

confidence: 99%

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A Review of the Incidence, Manifestation, Predisposing Factors, and Management of Recurrent Pediatric Inguinal Hernia

Koivusalo

2017

Eur J Pediatr Surg

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Recurrent pediatric inguinal hernia is relatively rare. In a large series, the recurrence rates vary from 0.3 to 1.2%. In a university hospital with surgical service for a wide spectrum of sick pediatric patients, the real recurrence rate may be 3 to 6%. Recurrence manifests typically 6 months after first repair. Current evidence indicates that recurrence rates in open and laparoscopic repair are similar. Laparoscopic repairs are, however, still performed by a minority of skilled pediatric surgeons, whereas the majority of pediatric surgeons rely on open repair not least because of the assumed lower risk of recurrence. After repair of an indirect hernia, the majority of recurrences (97%) are indirect, whereas in rare cases the recurrence turns out to be a formerly undiagnosed direct or femoral hernia. In Children's Hospital of Helsinki, Finland, recurrence rate from 2012 to 2016 was 2.8% and operations for recurrent hernias comprised 3.3% of the total. From 1991 to 2017, a total of 130 operations for recurrent hernias were performed with open inguinal approach (n = 75, 58%), laparoscopy (n = 49, 38%), and laparotomy (n = 4, 4%). One teenage patient underwent a Lichtenstein Prolene net repair. A recurrent inguinal hernia can be repaired either with an open or laparoscopic approach. In laparoscopy, the nature of the recurrent hernia can be clarified and an immediate repair performed either by laparoscopic or open technique. In expert hands new laparoscopic techniques using muscular arch, lateral umbilical ligament, iliopubic tract, and division of the sac may be an alternative to a simple purse-string closure.

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Section: Recurrent Inguinal Hernia Authors Experiencesupporting

confidence: 84%

Section: Incidence Predictive Factors and Manifestation Of Recurrenmentioning

confidence: 99%

Section: Management Of Recurred Inguinal Herniasmentioning

confidence: 99%

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A Review of the Incidence, Manifestation, Predisposing Factors, and Management of Recurrent Pediatric Inguinal Hernia

Koivusalo

2017

Eur J Pediatr Surg

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“…[3] Despite numerous outcome analyses and these being the most common procedures in children, there are no studies evaluating who are in fact performing these surgeries, pediatric urologists or pediatric surgeons. [4–6]…”

Section: 0 Introductionmentioning

confidence: 99%

Pediatric inguinal and scrotal surgery — Practice patterns in U.S. academic centers

Chan

Durbin‐Johnson

Kurzrock

2016

Journal of Pediatric Surgery

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Purpose Both pediatric urologists and pediatric surgeons perform hernia repairs, hydrocelectomies and orchiopexies. We hypothesized that surgeons perform more incarcerated and female hernia repairs while urologists perform more orchiopexies and hydrocelectomies. Methods The Vizient-AAMC Faculty Practice Solutions Center® database was queried from January 2009 to December 2014 to identify patients 10 years or younger who underwent the above procedures performed by pediatric specialists. Age, gender, race, insurance, geographic region and surgeon volume were examined. Results In the study 55,893 surgeries were identified; 26,073 primary hernia repairs, 462 recurrent hernia repairs, 3,399 laparoscopic hernia repairs, 9,414 hydrocele repairs and 16,545 orchiopexies. Pediatric surgeons performed 89% of primary hernia repairs with an annual median surgeon volume of 4 cases/year. Pediatric urologists performed 62% of hydrocelectomies and 83% of orchiopexies with annual median surgeon volumes of 6 and 24, respectively. Pediatric surgeons performed all procedures in younger patients and performed more female and incarcerated hernia repairs. Conclusions Pediatric surgeons operated on younger patients and treat more patients with inguinal hernias while pediatric urologists care for more boys with undescended testes and hydroceles. This knowledge of referral patterns and care between specialties with overlapping expertise will allow improvements in training and access. LEVELS OF EVIDENCE Cost Effectiveness Study, Level of Evidence III

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“…Recurrence in inguinal hernia is a rare complication. Reported recurrence rate is 1% to 5% in elective hernia repair while this percentage increases for strangulated 16,17 hernia.…”

mentioning

confidence: 98%

Comparison of Needle Assisted Laparoscopic Repair and Open Repair of Inguinal Hernia in Paediatric Population: A Randomized Controlled Trial

Rahman

Abdullah

Rehman

et al. 2019

KMUJ

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Laparoscopic management of recurrent inguinal hernia in childhood

Cited by 22 publications

References 25 publications

A Review of the Incidence, Manifestation, Predisposing Factors, and Management of Recurrent Pediatric Inguinal Hernia

A Review of the Incidence, Manifestation, Predisposing Factors, and Management of Recurrent Pediatric Inguinal Hernia

Pediatric inguinal and scrotal surgery — Practice patterns in U.S. academic centers

Comparison of Needle Assisted Laparoscopic Repair and Open Repair of Inguinal Hernia in Paediatric Population: A Randomized Controlled Trial

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