Laparoscopic repair of inguinal hernia in infants: Comparison with open hernia repair

Ho, In; Ihn, Kyong; Koo, Eun-Jung; Chang, Eun Young; Oh, Jung Tak

doi:10.1016/j.jpedsurg.2018.01.022

Cited by 20 publications

(17 citation statements)

References 26 publications

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“…However, in the case of bilateral hernias, the laparoscopic operation time was significantly shorter than the OR time (46.1 minutes vs. 30.9 minutes, p = 0.01) [ 7 ]. These findings have been reproduced in several other studies [ 17 ] and suggest that laparoscopic surgery is more efficient in terms of operation time than OR in pediatric IH repair.…”

Section: Discussionsupporting

confidence: 78%

“…However, the rate of complications such as wound infection, hydrocele, iatrogenic cryptorchidism, and testicular atrophy was higher in OR than in laparoscopic repair (2.7% vs. 0.9%, p = 0.001). In a study conducted by Ho et al [ 17 ], there was no statistical difference between OR and laparoscopic repair in terms of postoperative recurrence rate and wound infection. However, postoperative scrotal swelling occurred more frequently in the OR group ( p = 0.006).…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic surgery: an effective and safe surgical method of pediatric inguinal hernia repair

Kim

2021

J Minim Invasive Surg

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Purpose Inguinal hernia (IH) repair is very commonly performed in children. While open repair (OR) is the standard approach, laparoscopic repair is increasingly used. This study was aimed to investigate safety and feasibility of laparoscopic repair of pediatric IH compared to OR. Methods We retrospectively enrolled 105 pediatric patients with IH repair between January 2011 and October 2019. The laparoscopic procedures performed were laparoscopic percutaneous extraperitoneal closure (LPEC), and three-port mini-laparoscopic repair (TLR). The OR was performed as per usual technique. Results Thirty-nine patients underwent OR, 16 LPEC, and 50 TLR. The preoperative laterality of IH was 45 patients (42.9%) on the right side, 50 (47.6%) on the left side, and 10 (9.5%) on both sides. It was, however, diagnosed postoperatively in 27 patients (25.7%) on the right side, 38 (36.2%) on the left side, and 40 (38.1%) on both sides. Of the 63 patients who presented with unilateral IH in the laparoscopic groups, 32 (50.8%) had synchronous contralateral patent process vaginalis (PPV) which were simultaneously repaired. This was significantly more common in children under 3 years of age. Operative time in unilateral or bilateral repair was significantly shorter in the laparoscopic repair groups ( p < 0.001). Ipsilateral recurrence was not observed in any group. Metachronous contralateral IH occurrence was not significantly different between groups. Conclusion Laparoscopic IH repair may have benefit in terms of shorter operation time and diagnosis of unpredicted contralateral PPV compared to OR.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery: an effective and safe surgical method of pediatric inguinal hernia repair

Kim

2021

J Minim Invasive Surg

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“…Por su parte Ho y colaboradores (2018) observaron en su estudio comparativo entre la reparación laparoscópica y la cirugía abierta, que el diagnostico con más frecuencia obtenido fue la hernia inguinal bilateral. Además, se han informado como beneficios de la reparación por vía laparoscópica la buena coyuntura para realizar la inspección intraoperatoria de la ingle contralateral [14].…”

Section: Discussionunclassified

Tratamiento de hernias inguinales en niñas con técnica laparoscópica de Burnia versus cirugía abierta.

Mendoza-Vera

Serrano-Concha

Morales-Mayorga

et al. 2022

REV-SEP

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Introducción: En la actualidad se amplía el debate sobre qué técnica sería mejor comparando la cirugía abierta con la técnica laparoscópica, y el interés cosmético a futuro en pacientes mujeres que requieren la resolución quirúrgica de una hernia inguinal, por lo que el objetivo del presente estudio fue hacer una descripción de niñas con hernia inguinal sometidas a técnicas de corrección laparoscópica (técnica de Burnia) versus cirugía convencional para hernias inguinales. Métodos: El presente estudio observacional fue realizado en el Hospital de Niños Dr. Ro-berto Gilbert Elizalde, de Guayaquil, Ecuador, de enero del 2021 al febrero del 2022. Con una muestra no probabilística ingresaron al estudio niñas sometidas a tratamiento quirúrgico por hernia inguinal. Se registró la edad, técnica quirúrgica, estancia hospitalaria, tiempo quirúrgico y complicaciones operatorias. Se realiza un análisis bivariado comparando las técnicas quirúrgicas: abierta versus laparoscópica. Se comparan proporciones con Chi cuadrado y promedios con U de Mann-Whitney. Resultados: 89 pacientes fueron incluidas en el estudio, 76 casos por técnica abierta (TA) y 13 casos por técnica de Burnia (TB). El promedio de edad fue 3.8 años, 5.05 días de hospitalización en TA unilateral y 2.3 días en TB unilateral (P=0.03), 7.2 días de hospitalización en TA bilateral y 2.25 días en TB bilateral (P=0.026). Tiempo quirúrgico 46.9 min en TA unilateral y 40.38 min en TB unilateral (P=0.232). Tiempo operatorio de 64.7 min en TA bilateral y 42.5 min en TB bilateral (P=0.038). Complicaciones 2 casos (2.6%) en TA y 1 caso (7.7%) en TB (P=0.35). Conclusiones: El uso de la técnica laparoscópica disminuyó los tiempos de estancia hospitalaria y tiempo quirúrgico cuando es bilateral. Desde el punto de vista estético las cicatrices fueron menos visibles en el tratamiento quirúrgico por abordaje de mínima invasión.

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“…20 However, as time has progressed and experience with laparoscopic techniques has improved, it appears that the operative times have reduced and become more comparable-at least with regards to inguinal herniato open approaches. 21,22 More complex laparoscopic procedures likely will have a much more gradual improvement in operative times as they have a steeper learning curve to overcome. In a review of laparoscopic-assisted total proctocolectomy and ileal pouch anal anastomosis for ulcerative colitis, Linden et al found a median increase of 87 minutes for the laparoscopic approach.…”

Section: Merhoff Et Al Compared Laparoscopic To Open Appendectomy Inmentioning

confidence: 99%

Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy

et al. 2020

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Minimally invasive procedures have seen increasing utilization in the pediatric patient population since the 1990s. Most thoracic and abdominal operations in pediatric surgery can be performed in a minimally invasive manner including those performed in neonates and infants. Thoracoscopic or laparoscopic operations can reduce hospital length of stay, minimize postoperative pain, and lead to more aesthetic results. However, it is important to be aware of the inherent risks, limitations, and adverse effects associated with these thoracoscopic and laparoscopic techniques, particularly in special populations. In this article, we will review the risks and limitations of laparoscopy in pediatric patients such as cost, operative time, reduced effectiveness, air embolism, hypercarbia, hypothermia, and access-related injuries.

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Laparoscopic repair of inguinal hernia in infants: Comparison with open hernia repair

Cited by 20 publications

References 26 publications

Laparoscopic surgery: an effective and safe surgical method of pediatric inguinal hernia repair

Laparoscopic surgery: an effective and safe surgical method of pediatric inguinal hernia repair

Tratamiento de hernias inguinales en niñas con técnica laparoscópica de Burnia versus cirugía abierta.

Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy

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