Recurrence after laparoscopic high ligation in adolescents: A multicenter international retrospective study of ten hospitals

Gibbons, Alexander T.; Hanke, Rachel E.; Berazaluce, Alejandra M. Casar; Abdulhai, Sophia; Glenn, Ian C.; McNinch, Neil L.; Endo, Makoto; Shah, Sohail R.; Yada, Keigo; Wolak, Przemysław; Leys, Charles M.; Aranda, Arturo; Miyano, Go; Midulla, Peter; Patkowski, Dariusz; Novotny, Nathan M.; Ponsky, Todd A.

doi:10.1016/j.jpedsurg.2020.09.026

Cited by 14 publications

(30 citation statements)

References 24 publications

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“…However, there was no evidence that repair in CPPV can reduces the postoperative recurrence rate 20,21 . And explore data showed there was no statistic difference between LP and OP 22 . And observation has a lower risk of morbidity compared with contralateral exploration 23 .…”

Section: Discussionmentioning

confidence: 91%

Contralateral Patent Processus Vaginalis Repair in Boys: Healing or Killing the Possible

Liu

Cao

Qiu

et al. 2022

Preprint

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Objective: To check the contralateral patent processus vaginalis (CPPV) prevalence in life, and the significance for the treatment.Data sources: We performed a retrospective review of all inguinal hernia (IH) cases who underwent repair in our hospital from 2014 to 2018. Study design: We analyzed the occurrence and treatment regularity in boys. Checked and compered the history, initial sides of hernia, CPPV and prognoses in different age groups. Data collection: We checked all IH cases repaired in our hospital, picked out the male cases, including boys and men, recurrent cases were not enrolled.Principal findings: A total of 3243 cases were enrolled, 2489 (right-sided IH 1411 (56.69%) vs left-sided IH 975 (39.17%), bilateral IH 103 (4.14%)) in children, and 754 (right-sided IH 485 (64.32%) vs left-sided IH 236 (31.30%), bilateral IH 33 (4.38%)) in adults. 1124 CPPV were checked in children with unilateral inguinal hernia (2386), 12 in adults of 267 (p<0.0001). There were no significant differences in recurrence rate between the blocks in children (p>0.05).Conclusions: The incidence of inguinal hernia in boys was significantly higher than men. The number of cases declines rapidly with age in boys. Processus vaginalis obliterates and involutes, last for a long period, routine exploration on contralateral may kill the possible of self-obliterating capability.

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Section: Discussionmentioning

confidence: 91%

Contralateral Patent Processus Vaginalis Repair in Boys: Healing or Killing the Possible

Liu

Cao

Qiu

et al. 2022

Preprint

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“…As the PIRS technique has been offering excellent esthetic results, the majority of parents are satisfied with the use of this method for their children and recommend it to other parents whose children need to undergo surgery of this type. as one with an excellent esthetic effect [17,27]. In a retrospective study by Amano et al, from 1.033 children with laparoscopic hernioplasty, on a scale of satisfaction from 1-5 (5 being the highest), regarding the visibility of the scar, the results were 4.9 ± 0.5 points [28].…”

Section: Discussionmentioning

confidence: 98%

“…However, once the learning curve was passed, the duration gradually decreased [16]. Researchers have shown that the operating time was in an interval between 20 and 74 minutes [17]. Patkowski on the sample of 140 hernias, discovered that the average PIRS operative time for unilateral hernias was 19 minutes, while for bilateral was 24 minutes [17].…”

Section: Discussionmentioning

confidence: 99%

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The laparoscopic repair of inguinal hernia in female children in the Republic of North Macedonia

Risteski

2021

Srp Arh Celok Lek

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Introduction/Objective. Laparoscopic inguinal hernia repair in children is a minimally invasive method, and with its safety, feasibility and excellent cosmesis is an acceptable alternative in comparison with open repair. Methods. This is a prospective clinical study, with national data of 49 female children aged 1-14, treated via laparoscopic approach. Operative time, time to verticalization (normal position in bed, standing/walking), hospital stay, nausea, pain and cosmetic effects (size and visibility of mark), were elaborated. Results. The results revealed that 5 (10.2%) children had a family history of inguinal hernia. A total of 29 (59.2%) children had hernia located on the right side, 19 (38.8%) on the left side and 1 (2%) on both sides. The average diametar of the inguinal opening was 3 ? 2.17 cm. Sixteen children (32.7%) had presence of hidden hernia. The average operation time of the unilateral intervention was 29.5 ? 6.8 min, and for bilateral hernias it was 43.6 ? 7.2 minutes. The average length of hospitalization was 14.1 ? 3.1 hours, and the time needed for a full return to a normal position in bed was 2.6 ? 0.6 hours. The average length of scar in the right, as well as in left groin region was 2.2 ? 0.4 mm. A total of 46 (93.9%) parents/guardians were satisfied by the aesthetic look, while 3 (6.1%) had no particular opinion regarding this question. Conclusion. The introduction of laparoscopic surgery in the treatment of inguinal hernia is a promising method, which plays an important role as an alternative surgical technique because of the minimal invasiveness of the technique and improved recovery of the children.

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“… 29–31 The recurrence incidence, stressed by numerous authors, is only slightly higher after the laparoscopic treatment than after the traditional, open surgery. 10 , 18 , 23 , 29 , 32 However, there are authors who, over a long period of observation, did not report any recurrence of hernia after the laparoscopic surgery. 22 , 25 It should also be emphasized that the laparoscopic method, such as the PIRS technique, requires much less intervention in the inguinal canal than the traditional method.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Internal Ring Suturing (PIRS) – The Benefits of Laparoscopic Inguinal Hernia Repair

Wolak¹,

Strzelecka²,

Piotrowska-Gall³

et al. 2022

TCRM

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Introduction The laparoscopic inguinal hernia repair in children using the PIRS technique is a well-established method. However, there are still opinions that this method does not bring more benefits than open surgery. Purpose The study aims to demonstrate the benefits of laparoscopic technique over conventional, open techniques. Patients and Methods We conducted a retrospective study that included children aged 0–18 treated using the PIRS technique in 2008–2016. The control group consisted of patients treated with the traditional, open method of inguinal hernia repair. A total of 276 children were qualified for laparoscopic surgery, and there were 274 patients in the control group. A full laparoscopic procedure was performed on 247 patients. Assessment of the pathology of the internal inguinal ring was done in all patients during the laparoscopic procedure. Intraoperatively 79 children had bilateral inguinal hernia diagnosed, 133 right-sided inguinal herniae, and 57 left-sided inguinal herniae. The occurrence of hernia was not confirmed in 7 children, whereas 53 patients had open contralateral patent processus vaginalis. In a case of contralateral patent processus vaginalis, the repair was performed using the PIRS method. Results The recurrence of the inguinal hernia was observed in 10 children in the laparoscopic group and in 5 cases in control group. The duration of the procedure was noted and compared to open inguinal hernia repair. There was a statistically shorter duration of the laparoscopic method. In the control group, there were 16 patients with a metachronous contralateral inguinal hernia. Conclusion The laparoscopic inguinal hernia repair was associated with a better assessment of hernia pathology, shorter operative time, and lower risk of contralateral hernia repair.

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Recurrence after laparoscopic high ligation in adolescents: A multicenter international retrospective study of ten hospitals

Cited by 14 publications

References 24 publications

Contralateral Patent Processus Vaginalis Repair in Boys: Healing or Killing the Possible

Contralateral Patent Processus Vaginalis Repair in Boys: Healing or Killing the Possible

The laparoscopic repair of inguinal hernia in female children in the Republic of North Macedonia

Percutaneous Internal Ring Suturing (PIRS) – The Benefits of Laparoscopic Inguinal Hernia Repair

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