Risk factors influencing ascending testis after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia and hydrocele

Obayashi, Juma; Wakisaka, Munechika; Tanaka, Kunihide; Furuta, Shigeyuki; Ohyama, Kei; Kitagawa, Hiroaki

doi:10.1007/s00383-020-04789-8

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Furthermore, although many articles on its efficiency and safety have been published, applying LPEC to boys remains controversial owing to the difficulty and uncertainty of genitourinary complications. [2][3][4] Therefore, its indication is limited only to girls at some institutes.…”

Section: Introductionmentioning

confidence: 99%

“…However, surgeons sometimes face difficulties during LPEC because of the hernia size, thickened peritoneum, and adhesions; therefore, acquiring different techniques is required. Furthermore, although many articles on its efficiency and safety have been published, applying LPEC to boys remains controversial owing to the difficulty and uncertainty of genitourinary complications 2–4 . Therefore, its indication is limited only to girls at some institutes.…”

Section: Introductionmentioning

confidence: 99%

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Surgical tricks of handling a needle and grasping forceps during laparoscopic percutaneous extraperitoneal closure (LPEC) for pediatric inguinal hernia

Sugimoto,

Yoshimoto,

Tahara

et al. 2023

Asian J Endoscop Surgery

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IntroductionLaparoscopic percutaneous extraperitoneal closure (LPEC) is an alternative to open repair for pediatric inguinal hernias; however, its application for boys remains controversial. In this study, we developed a technique to enhance the safety and feasibility of LPEC.Material and Surgical TechniqueIn our technique, forceps are used to pull up the peritoneum ahead on the route, creating a space between the peritoneum and structures, including gonadal vessels and vas deferens. This potentially decreases the risk of perioperative injury of these structures. This technique also allows the needle to pass on the shortest course around the inguinal ring without crossing the vas deferens, possibly lowering the likelihood of injury and preventing excessively high ligation of the vaginalis process.DiscussionOur technique diversifies the LPEC methods, thereby augmenting the feasibility and safety of the procedure.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%