Single incision for bilateral inguinal herniorrhaphies in female children

Uceda, Jorge E.

doi:10.1016/0022-3468(94)90155-4

Cited by 4 publications

(4 citation statements)

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“…To the best of our knowledge, the idea of exposing the bilateral inguinal hernia through a single small incision has rarely been described in the literature. Uceda [ 10 ] described a single incision method for girls in 1994, and so far there have been few reports on the application of this technique in male children. Concerns regarding this approach may arise from its potential spermatic cord injury in boys, resulting in testicular atrophy.…”

Section: Discussionmentioning

confidence: 99%

“…One anatomical basis of our technique over bilateral inguinal herniorrhaphy is that the single transverse incision is closer to the bilateral external inguinal ring and provides better exposure. [ 10 , 19 ] Based on it, we speculated that children with bilateral inguinal hernias under 10 years old were the reasonable age for SBIH.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, we introduced a new surgical method with minimally invasive effect for the treatment of bilateral inguinal hernia in children. In fact, Uceda [ 10 ] first described a single transverse suprapubic incision for bilateral inguinal hernia repair in 1994, which was considered simple and practical for bilateral inguinal hernia repair in girls. According to his point of view, this single incision method was not recommended for the repair of bilateral inguinal hernia in boys due to concerns about difficult surgical procedures and inevitable complications.…”

Section: Introductionmentioning

confidence: 99%

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Single-incision approach for bilateral inguinal hernia repair in children

Chongxi

Wang

et al. 2020

Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Single-incision approach for bilateral inguinal hernia repair in children

Chongxi

Wang

et al. 2020

Medicine

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“…Male inguinal hernias should not be treated with this method, the author advises, as it would be more difficult and likely lead to complications that may have been avoided. 12 Our study revealed that the parents were happy with the overall results and cosmetic attractiveness. There haven't been any recurrences so yet.…”

Section: Discussionmentioning

confidence: 61%

Repair of Bilateral Inguinal Hernia in Children with a Single Cosmetic Incision. Our Experience in Tertiary Care Center

Qureshi¹,

Chand²,

Sumera³

et al. 2022

PJMHS

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Aim: To evaluate the advantages/benefits of a single cosmetic incision approach for the repair of bilateral inguinal hernia in children. Study design: A cross-sectional study Place and Duration of study: Pediatric surgery department, Liaquat University of Medical & Health Sciences Jamshoro from February 2017 and June 2022 Methodology: Bilateral inguinal herniorrhaphies were performed on a total of 178 children and infants who received treatment in succession. A single, transverse, 2.5-cm long suprapubic incision was performed in 89 (50%) of the patients, and the Scarpa fascia was punctured using cautery. The external ring was located and opened after retracting the wound, and the ilioinguinal nerve was safeguarded. After testicular vascular and sac separation from vas deference, the hernial sac is delicately Trans ligated with 3-0 Vicryl (Ethicon), closed was the external oblique aponeurosis. The wound was then retracted to the opposite side and treated there using the same technique. Results: Ages ranged from 3 months to 11 years at the time of operation (average, 29.8 months). 56.93% of the patients—96—were under the age of one, with 51 of them—28.65%—being under the age of six months. 48 patients were 1 to 5 years old, and 24 were over the age of 5. The average operating time was 8–10 minutes shorter than it had been in the past for children who had undergone bilateral inguinal incisions, which typically took 30–40 minutes. The visual look and overall outcomes have pleased the patients and parents. There haven't been any recurrences so yet. Conclusion: In order to improve therapeutic impact and lower the risk of complications and recurrence, we develop a single incision method for bilateral inguinal herniorrhaphies. Depending on the availability of a paediatric surgeon with the necessary experience and skills, a single incision technique for treating a child's bilateral inguinal hernia is practical, safe, and can be provided to patients. Keywords: single incision approach, inguinal herniorrhaphies, children, cosmetics

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