Minilaparoscopic herniorrhaphy in pediatric inguinal hernia: A durable alternative treatment tostandard herniotomy
Journal
Journal of Pediatric Surgery
Journal Volume
46
Journal Issue
4
Pages
708-712
Date Issued
2011
Author(s)
Abstract
Background: The purpose of the article is to report our long-term results of minilaparoscopic inguinal hernia repair in children. Methods: Between September 2003 and September 2008, 161 children with inguinal hernia were treated with minilaparoscopic herniorrhaphy. The asymptomatic contralateral internal ring was routinely explored and repaired if a patent processus vaginalis of not less than 2 cm was noted. Patients who were followed for less than 1 year and those who were lost to follow-up were excluded from the study. Intraoperative and postoperative complications and hernia recurrences were documented. Results: In total, 146 patients were eligible for final analysis. A total of 196 minilaparoscopic herniorrhaphies were performed. The mean follow-up period was 3 years. There were 4 hernia recurrences (2%) in 3 boys. There were no procedure-related complications. None of the patients with a negative contralateral exploration or a contralateral patent processus vaginalis of less than 2 cm had a contralateral metachronous inguinal hernia. Conclusions: Our long-term results reveal that minilaparoscopic herniorrhaphy combined with hernia sac transection is a safe and effective alternative treatment to standard open herniotomy. ? 2011 Elsevier Inc. All rights reserved.
Subjects
Contralateral exploration; Inguinal hernia; Laparoscopy
SDGs
Other Subjects
adolescent; article; child; female; follow up; herniorrhaphy; human; infant; inguinal hernia; laparoscopic surgery; major clinical study; male; minilaparoscopic herniorrhaphy; outcome assessment; patent processus vaginalis; priority journal; recurrent disease; safety; treatment outcome; Adolescent; Child; Child, Preschool; Female; Follow-Up Studies; Hernia, Inguinal; Humans; Infant; Infant, Newborn; Laparoscopy; Male; Prospective Studies; Time Factors; Treatment Outcome
Type
journal article