Single-port laparoscopic herniorrhaphy using a two-hooked cannula device with hydrodissection

Li, Suolin; Liu, Xuelai; Wong, Kenneth K. Y.; Lin, Li; Li, Yingchao

doi:10.1016/j.jpedsurg.2018.08.009

Cited by 20 publications

(19 citation statements)

References 13 publications

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“…During the follow-up periods, there was no complications for all the patients although the laparoscopic group had been followed-up for a shorter time. From the results, we can propose that minimal invasive concept of single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls was acceptable and practicable, which has been suggested by many recent studies [1][2][3][4][5][6][7][8][9][10][11]. The application of an epidural needle assisted by the towel forceps was convenient, effective and safe.…”

Section: Discussionmentioning

confidence: 91%

“…The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practised recent years [1][2][3][4][5][6][7][8][9][10][11]. The applicable instruments and skills are still evolving and being probed, such as modified Kirschner pin, epidural needle, optical forceps assisting, twohooked cannula device and two-hooked core needle apparauts et al [1,2,7,8,10] In this study, we used an epidural needle assisted by a towel forceps to practise this minimal invasive method for inguinal hernias repair in girls. Its safety and effectiveness were studied.…”

Section: Introductionmentioning

confidence: 99%

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Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Xiao

2020

BMC Surg

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Background: The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practising recent years. The applicable instruments and skills are still evolving. In this study, we used an epidural needle assisted by a towel forceps to practise this minimal invasive method for inguinal hernias repair in girls. Its safety and effectiveness were studied. Methods: From July 2008 to January 2020, thirty-five girls diagnosed of indirect inguinal hernias were studied retrospectively. From April 2017 to January 2020, the author was free to propose open or laparoscopic repair for the patients. The open group included twenty-four girls and the laparoscopic group included eleven. The data of the patients age, constituent ratios of sliding and bilateral hernias, operating time, postoperative time in hospital, follow-up time, conversion, postoperative complications were assessed. Results: There were no statistically significant difference between the laparoscopic group and open group for the following items: age, operating time, postoperative time in hospital, the constituent ratios of sliding hernia and bilateral hernias (P > 0.05). The follow-up time of the open group was longer than that of the laparoscopic group (P = 0.0004). One laparoscopic case was converted to open surgery. After 12 cases of laparoscopic practice, coordination of the hand and eye movements established well. There were no postoperative complications for all the patients. Conclusion: Our preliminary experience suggested that it is safe and convenient for inguinal hernias repair in girls by the single-port laparoscopic percutaneous extraperitoneal closure method using an epidural needle assisted by a towel forceps.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Xiao

2020

BMC Surg

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“…No difference in the documentation of complications was found between articles with reported ethical approval and articles without (47 and 48%, respectively). Minor complications reported by the authors included wound infections, but also recurrences of the condition treated with the new technique, that is fistula recurrence after a modified fistula closure after hypospadia repair, 9 recurrent inguinal hernia after modified laparoscopic repair, 10,11 or failure of the new method without any adverse events. 12,13 More severe complications reported included temporary incontinence after the use of a new instrument for hemorrhoidectomy in a study without documentation of prior ethical approval or informed consent.…”

Section: Resultsmentioning

confidence: 99%

Ethical Publication Standards in Articles Reporting on Novel Surgical Methods: Analysis of Three Pediatric Surgical Journals

2020

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Introduction According to the Declaration of Helsinki, medical research and new therapeutic interventions involving human subjects require prior informed consent and ethical approval. In 2010, 46% of pediatric surgical publications lacked documentation of ethical approval and 84% lacked documentation of informed parental consent with lowest rates of ethical adherence found in articles concerning novel methods. The aim of this study was to investigate whether adherence to ethical standards has improved in pediatric surgical publications. Materials and Methods All 3,093 consecutive articles published in Journal of Pediatric Surgery, European Journal of Pediatric Surgery, and Pediatric Surgery International over the last 5 years were systematically reviewed for publications describing novel surgical methods. Novel methods were defined as surgical methods not published before or not considered common practice. The publications were reviewed as to whether ethical approval and informed consent to participate was documented. Results In total, 105 articles describing novel surgical methods were identified (61 Journal of Pediatric Surgery, 16 European Journal of Pediatric Surgery, and 28 Pediatric Surgery International). Authors reported on new operative techniques (62%), modified techniques (31%), or use of new materials (7%). Ethical approval was documented in 52% of the articles with almost half reporting approval for retrospective data analysis only but not the application of the novel method. Informed consent was documented in 21% of publications. Complications were reported in 48% of the studies, including recurrences and reinterventions for the unsuccessful novel methods. Two authors reported mortalities due to underlying disease, one of which failed to report prior ethical approval or informed consent. Conclusion Adherence to ethical publication principles in pediatric surgery has improved over the last years but is still lacking in many publications. When implementing new methods, prior ethical approval and informed consent and their documentation are mandatory, specifically in the light of potential hazard to patients.

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“…Some scholars believe that only 10% of the contralateral PPV patients will further develop into MCH, and there is no need for treatment [ 12 ]. However, more scholars believe that the contralateral PPV should be ligated and closed at the same time to prevent the MCH that may occur at any time in the later stage [ 7 ]. Because simultaneous ligation will neither increase the risk nor cause an additional injury to the patient, it cannot be ignored in the operation.…”

Section: Discussionmentioning

confidence: 99%

“…ZL 2013 20013865.2). The internal structure and use method of the hernia needle device were detailed in Li et al [ 7 ]. All patients were given general anesthesia.…”

Section: Clinical Datamentioning

confidence: 99%

A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China

Liu

Xiu

et al. 2020

BMC Surg

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Background Pediatric inguinal hernia (PIH) is a common disease in children. Laparoscopic hernia repair (LHR) has developed rapidly in recent years, but there are still different opinions compared with traditional open hernia repair (OHR). The purpose of this study was to compare the advantages and disadvantages of LHR and OHR in the treatment of pediatric inguinal hernia. Methods We performed a retrospective review of all children (< 14 years) who underwent repair of inguinal hernia in the pediatric surgery center of the Affiliated Hospital of Qingdao University from January 2015 to December 2015. We collected the medical records of all the children and analyzed the clinical characteristics, operation-related information and follow-up. Results In the OHR group, 202 cases underwent unilateral inguinal hernia repair, and 43 cases underwent bilateral inguinal hernia repair. In the LHR group, 168 cases underwent unilateral inguinal hernia repair, and 136 cases underwent bilateral inguinal hernia repair. There was a significant difference in the operation time between the two groups, but there were no significant differences in postoperative hospitalization time and incidence of ipsilateral recurrent hernia between the two groups. The incidence rates of metachronous contralateral hernia (MCH) and surgical site infection in LHR group were significantly lower than those in the OHR group. Conclusion Our study shows that compared with OHR, LHR has the advantages of concealed incision, minimal invasiveness, reduced operation time, detection of contralateral patent processus vaginalis, and reduced incidence of MCH. In conclusion, LHR is safe and effective in the treatment of pediatric indirect inguinal hernia.

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Single-port laparoscopic herniorrhaphy using a two-hooked cannula device with hydrodissection

Cited by 20 publications

References 13 publications

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Ethical Publication Standards in Articles Reporting on Novel Surgical Methods: Analysis of Three Pediatric Surgical Journals

A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China

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