Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children

Barroso, Catarina; Etlinger, Péter; Alves, Ana Luísa; Osório, Angélica; Carvalho, José Luís; Lamas-Pinheiro, Rúben; Correia‐Pinto, Jorge

doi:10.3389/fped.2017.00207

Cited by 25 publications

(27 citation statements)

References 25 publications

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“…It is assumable that the latter two reasons tend to occur more frequently when the surgery is performed by inexperienced surgeons. The learning curve of the laparoscopic percutaneous extra-corporeal technique varies between 31 and 48 operations for paediatric surgical trainees and between 12 and 35 operations for surgeons (34)(35)(36). Since the extra-corporeal technique does not require intraperitoneal suturing, it is expected to have a lower learning curve than the intra-corporeal technique.…”

Section: Discussionmentioning

confidence: 99%

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Maat

Dreuning

Nordkamp

et al. 2021

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Maat

Dreuning

Nordkamp

et al. 2021

Journal of Pediatric Surgery

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“…With the development of minimally invasive medicine and increasing development of various minimally invasive surgical instruments, the pediatric inguinal hernia surgery has gradually transitioned from the traditional open surgery through the groin to minimally invasive laparoscopic surgery and developed from the original three-port and two-port laparoscopy to the latest transumbilical single-port laparoscopic surgery [7][8][9]. Meanwhile, the closure method of hernial inner ring opening has developed from the initial intraperitoneal suture and ligation to the current laparoscopic percutaneous extraperitoneal closure (LPEC) [10][11][12][13]. Moreover, some scholars have also reported the use of various home-made surgical instruments for single-site laparoscopic herniorrhaphy to treat pediatric inguinal hernia, and favorable efficacy has been attained [14].…”

Section: Discussionmentioning

confidence: 99%

“…How to reduce the recurrence rate after single-port laparoscopic inguinal herniorrhaphy in children is a major problem in clinical practice at present, and the most common causes of recurrence include the learning curve factor, indefinite ligation, and ligature loosening [13,17]. Research shows that although there were individual differences, all trainees acquired the skill to perform LPEC adequately within ten months [18].…”

Section: Discussionmentioning

confidence: 99%

Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle.

Zhou

Chen

Jiang

2019

Videosurgery and Other Miniinvasive Techniques

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Introduction: Inguinal hernia is the most common disease in pediatric surgery and is induced by congenital processus vaginalis patency. Almost all inguinal hernias are inguinal indirect hernias, and herniorrhaphy has accounted for about 15% of all pediatric operations. In the past 20 years, with the development of minimally invasive technology, laparoscopic inguinal herniorrhaphy has been emerging in China and in other countries. Aim: To introduce a new technique for treating inguinal hernia in children, and evaluate the feasibility and surgical efficacy of a transumbilical single-port laparoscopic water-injection hernia crochet needle in treating pediatric inguinal hernia. Material and methods: Clinical data of 136 inguinal hernial children treated using a transumbilical single-port laparoscopic water-injection hernia crochet needle in our hospital from June 2017 to December 2018 were retrospectively analyzed. Results: All procedures were successfully accomplished, and no case was converted to a different procedure; the average operation time was 16 min for one side and 35 min for both sides. Patients were followed for an average of 10 months after surgery. One patient had a line-knot reaction at the inguinal puncture point 3 months after surgery and recovered after conservative treatment, and no recurrent case was observed after surgery. Conclusions: It is feasible to treat pediatric inguinal hernia through a transumbilical single-port laparoscopic water-injection hernia crochet needle, which is associated with safety, less trauma, rapid recovery, no obvious scar, and satisfactory efficacy. Therefore, it is worthy of being promoted and applied in clinical practice.

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“…It was reported that about ninety percent of complications are avoided when the repair is performed during the first month of diagnosis. Plethora of surgeons have recommended hernia repair immediately after diagnosis [2].…”

Section: Introductionmentioning

confidence: 99%

“…The first laparoscopic repair of inguinal hernia repair was reported round the 1990s, [3], since then many techniques have been described which can be divided in to two major groups [2]; intra-corporeal technique that included dissection, ligation and division of the sac that resemble the true classic inguinal herniotomy [4,5]…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study between Laparoscopic Repair and Open Repair of Pediatric Inguinal Hernia; Outcomes and Benefits

Elekiabi¹,

Eraky²,

Abdelhady³

et al. 2019

Act Scie Paedia

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Background: The improvement of pediatric laparoscopic instruments and increased experience with laparoscopy technique, laparoscopic inguinal hernia repair in children become an important skill which the laparoscopist must be aware of. Laparoscopic repair of inguinal hernias in children is less invasive, more feasible and less painful. Additionally, this procedure is that, it could allow contra lateral hernia detection and repair in same setting. Aim: In our study we aimed to compare between the outcomes of the conventional opened repair and the laparoscopic repair of pediatric inguinal hernia. Materials and Methods: The current prospective study which included 30 patients with inguinal hernia who were divided in to two groups the first group included 10 patients and was managed by laparoscopic repair, while the second group included 20 patients and was managed by the conventional open repair. Results: The mean time of operation in laparoscopic repair is slightly shorter than that of opened repair but this was not statistically significant. Post-operative recovery was significantly faster in patients undergoing open repair than in laparoscopic repair (p = 0.003). Post-operative discharge was significantly faster in undergoing open repair than in laparoscopic repair (p = 0.025). Postoperative secondary hydrocele was common in laparoscopic repair that in open repair while scrotal edema was common in opened repair that laparoscopic repair (p = 0.049). Patient cosmetic Satisfaction was higher in group 1 with laparoscopic repair than in group 2 with opened repair (p = 0.012). Patient financial satisfaction was lower in group 1 with laparoscopic repair than in group 2 with opened repair (p = 0.046). Conclusion: Laparoscopic repair of inguinal hernias in children is less invasive, more feasible, less painful and it could allow contra lateral hernia detection and repair in same setting.

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Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children

Cited by 25 publications

References 25 publications

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Comparison of intra- and extra-corporeal laparoscopic hernia repair in children: A systematic review and pooled data-analysis

Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle.

A Comparative Study between Laparoscopic Repair and Open Repair of Pediatric Inguinal Hernia; Outcomes and Benefits

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