Comparison Between Inguinal Herniotomies With and Without Incising External Oblique Aponeurosis: A Randomized Clinical Trial

Abstract

Background:Inguinal herniotomy is the most common surgery performed by pediatric surgeons. Aim:To compare the results and complications between two conventional methods of pediatric inguinal herniotomy with and without incising external oblique aponeurosis in terms of recurrence of hernia and other complications. Methods: This one blinded clinical trial study was conducted on 800 patients with indirect inguinal hernia. Inclusion criterion was children with inguinal hernia. The first group underwent herniotomy without incising external oblique aponeurosis and second group herniotomy with incising external oblique aponeurosis. Recurrence of hernia and other complications including ileoinguinal nerve damage, hematoma, testicular atrophy, hydrocele, ischemic orchitis, and testicular ascent were evaluated. Results:Recurrence and other complications with or without incising external oblique aponeurosis had no significant difference, exception made to hydrocele significantly differed between the two groups, higher in the incision group.Conclusion:Herniotomy without incising oblique aponeurosis can be appropriate choice and better than herniotomy with incising oblique aponeurosis. Children with inguinal herniotomy can be benefit without incising oblique aponeurosis, instead of more interventional traditional method.

Systemization of Laparoscopic Inguinal Hernia Repair (Tapp) Based on a New Anatomical Concept: Inverted Y and Five Triangles

“…Repair of inguinal hernias is one of the most common procedures performed by general surgeons around the world 4 , 24 . Although first described in the 1990s, laparoscopic inguinal repair still finds resistance among surgeons today 2 , 7 , 23 . Main reasons are higher direct cost, need for general anesthesia and eventual higher rate of major complications associated with laparoscopic repairs 17 , 22 .…”