Minilaparoscopic herniorrhaphy with hernia sac transection in children and young adults: a preliminary report
- 13 March 2007
- journal article
- Published by Springer Science and Business Media LLC in Surgical Endoscopy
- Vol. 21 (9), 1623-1625
- https://doi.org/10.1007/s00464-007-9207-y
Abstract
Background We designed a technique of pure minilaparoscopic hernia sac transaction and ligation to repair primary inguinal hernias in children and young adults. Methods Between September 2003 and December 2004, 83 patients with primary inguinal hernia were treated surgically with minilaparoscopic herniorrhaphy. The mean patient age was 6.8 years. Before the operation there were synchronous bilateral hernias in 2 (2.4%) patients, left inguinal hernias in 39 (47%) patients, and right inguinal hernias in 42 (50.6%) patients. The minilaparoscopic herniorrhaphy was carried out with the 3-mm laparoscopic and hand instrument system. Three 3.5-mm trocar ports were used for the telescope and 3-mm instruments. The peritoneum overlying the internal ring was circumferentially incised, then the peritoneal defect was closed with intracorporeal sutures. Results One hundred and fourteen minilaparoscopic herniorrhaphies were performed. The mean followup period was 12.9 months. The mean operation time was 52 min. There was only one recurrence (1.2%) that was detected nine months after primary repair. All patients were able to return to unrestricted activity immediately and were discharged within 24 h after the operation. There was no reported case of testicular atrophy to date. Conclusions Minilaparoscopic herniorrhaphy with hernia sac transaction is a safe and effective technique in children and young adults with indirect inguinal hernias.Keywords
This publication has 15 references indexed in Scilit:
- Technical refinements in laparoscopic repair of childhood inguinal herniasSurgical Endoscopy, 2004
- A safe laparoscopic technique for the repair of inguinal hernias in boysJournal of the American College of Surgeons, 2003
- Laparoscopic herniorrhaphy in childrenSurgical Endoscopy, 2003
- Laparoscopic inguinal herniorrhaphy in children: A three-center experience with 933 repairsJournal of Pediatric Surgery, 2002
- Laparoscopic surgery of inguinal hernias in children—Initial experienceJournal of Pediatric Surgery, 2000
- Individual and associated effects of length of inguinal canal and caliber of the sac on clinical outcome in childrenJournal of Pediatric Surgery, 2000
- Laparoscopic treatment of congenital inguinal hernia in childrenJournal of Pediatric Surgery, 1999
- Inguinal herniotomy in children: A five year surveyBritish Journal of Surgery, 1985
- The unilateral pediatric inguinal hernia: Should the contralateral side be explored?Journal of Pediatric Surgery, 1980
- Frequency of contralateral inguinal hernia in children. A study of the indications for bilateral herniotomy in children with unilateral hernia.1970