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

Abstract

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.

A comparative study between laparoscopic hernia repair and open herniotomy of inguinal hernia in paediatric age group: A prospective randomized controlled study

“…The majority of study subjects in open herniotomy group were in age group of 1 to 5 years (38.46%) while in laparoscopic hernia repair group majority of the study subjects belonged to the age group of 1 to 5 and 6 to 10 years (46.15% each). These findings are correlated with the previous studies [8,9] . Regarding the sex prevalence, males are more commonly affected.…”

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

“…However, laparoscopic hernia repair (LHR) has the advantages of having a concealed scar, being minimally invasive, and having the ability to detect the contralateral PPV. Many authors think that LHR may gradually replace OHR and become the main surgical method for PIH [ 5 , 6 ]. At the same time, we also noticed that some scholars still have disputes about the operation time and the recurrence rate of hernia after LHR [ 1 ].…”

Laparoscopic Hernia Repair with the Extraperitoneal Approach versus Open Hernia Repair in Pediatric Inguinal Hernia: A Systematic Review and Meta-Analysis

“…A total of 16 studies compared the incidence of metachronous hernia between the LHRE and OHR groups, and 15 of them with a total of 14,416 patients (5207 patients in the LHRE group and 9209 patients in the OHR group) with the diagnosis of unilateral inguinal hernia who received operation were assessed [21,[23][24][25][26][27]29,32,33,36,37,[40][41][42][43]. The pooled result indicated that LHRE resulted in a considerably lower incidence of metachronous hernia compared with OHR (RR: 0.11, 95% CI: 0.07 to 0.17; p < 0.00001; I 2 = 4%; Figure 2).…”

“…A total of 26 studies compared the incidence of ipsilateral recurrence hernia between the LHRE and OHR groups, and the data of 25 of them covered a total of 24,430 patients (12,626 patients in the LHRE group and 11,777 patients in the OHR group) were assessed [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][39][40][41][42][43]. The incidence of ipsilateral recurrence hernia did not differ between the LHRE and OHR groups (RR: 0.97, 95% CI: 0.59 to 1.60; p = 0.91; I 2 = 44%; Figure 3).…”