Preliminary Experience of One-Trocar Laparoscopic Herniorrhaphy in Infants and Children

Chang, Yu-Tang; Lee, Jui‐Ying; Tsai, Chih-Cheng; Chiu, Wei-Cheng; Chiou, Chi-Shu

doi:10.1089/lap.2010.0132

Cited by 25 publications

(11 citation statements)

References 18 publications

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“…SLPEL was rst described by Takehara in 2006 for the treatment of inguinal hernias 11 . In the minimally invasive era, there has been an increasing trend among pediatric surgical centers to correct anomalies using fewer and smaller incisions 12,13 . Therefore, a considerable number of surgeons have started to perform SLPEL for pediatric inguinal hernia 11 .…”

Section: Discussionmentioning

confidence: 99%

Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study

Luo

Shi

et al. 2021

Preprint

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Single-site laparoscopic percutaneous extraperitoneal ligation (SLPEL) for pediatric inguinal hernia gained popularity all over the world. However, complications associated with extraperitoneal knotting were not rare in the classical SLPEL(C-SLPEL) procedure. In order to overcome disadvantages, we herein developed the modified SLPEL (M-SLPEL) procedure, intact circuit ligation of the peritoneum around the internal ring using a homemade hernia needle with a single abdominal wall centesis. To evaluated the effectiveness of the M-SLPEL procedure to decrease adverse events associated with ligation knotting, a comparative study was carried out. A total of 3219 patients from multiple centers were divided into two groups according to the operative procedures: M-SLPEL group and C-SLPEL group. All patients were followed up. Data describing the clinical characteristics, operative time, postoperative hospital stay, and complications was collected and retrospectively analyzed. With equivalent operative time, postoperative hospital stay, there was statistically significant difference between two groups in terms of the overall complications incidence (2.6% in C-SLPEL Vs 0.11% in M-SLPEL, P=0.03), including pain in inguinal area, knot foreign body reaction, palpable knot, recurrence. Together, these findings suggest that the M-SLPEL procedure is an effective and safe approach, with unique advantage in reducing adverse events in the inguinal region.

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Section: Discussionmentioning

confidence: 99%

Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study

Luo

Shi

et al. 2021

Preprint

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“…Many surgeons and researchers modified the operation, such as dissection of the vas deferens and vessels by injection saline through a modified hernia needle. [26] Chan and Tam [27] injected the saline percutaneously for dissecting vas deferens and vessels; subsequently, the pouch suturing of the internal ring is carried out laparoscopically. The above 2 methods could easily avoid injuring the vas deferens and spermatic cord vessels; however, the extraperitoneal gap created by injecting the saline was invisible.…”

Section: Discussionmentioning

confidence: 99%

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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“…Recent studies on inguinal hernia repairs indicate that traumatising of the edges might be beneficial towards total obliteration of the hernia. [8] Despite the proximity of the instruments and limited triangulation, operating time is quick and compares favourably to the standard full-thickness anterior abdominal repair.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic morgagni hernia repair using single-site umbilical and full-thickness abdominal wall repair: Technical report of two cases

Niekerk¹

2013

Afr J Paediatr Surg

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Single incision laparoscopic surgery is used in many centres for routine cases such as appendectomy, splenectomy and cholecystectomy. Morgagni hernias are uncommon and account for 1-2% of all congenital diaphragmatic hernia. We report our first laparoscopic repair of two Morgagni hernias, using a single umbilical incision and full-thickness abdominal wall repair with standard straight laparoscopic instruments. Operative time was short and compared favourably with the laparoscopic repair.

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Preliminary Experience of One-Trocar Laparoscopic Herniorrhaphy in Infants and Children

Cited by 25 publications

References 18 publications

Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study

Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study

Modified 2-port laparoscopic herniorrhaphy with Kirschner wire in children

Laparoscopic morgagni hernia repair using single-site umbilical and full-thickness abdominal wall repair: Technical report of two cases

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