A new simplified technique for needlescopic inguinal herniorrhaphy in children

Shalaby, Rafik; Fawy, M.; Soliman, Soliman M.; Dorgham, Ahmad

doi:10.1016/j.jpedsurg.2005.12.042

Cited by 62 publications

(53 citation statements)

References 11 publications

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“…The former involves intracorporeal looping [11,12] or suturing [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], either with [27] or without [13-26, 28, 29] the division of the continuity of the processus vaginalis. The latter is performed by extracorporeal knotting/suturing [30][31][32][33][34][35][36][37][38][39][40]. Another way of classifying the repairs is according to the number of ports used, whether the three- [5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26]…”

Section: Classification Of Laparoscopic Repairs For Cihmentioning

confidence: 99%

“…The latter is performed by extracorporeal knotting/suturing [30][31][32][33][34][35][36][37][38][39][40]. Another way of classifying the repairs is according to the number of ports used, whether the three- [5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], two- [30][31][32][33][34][35][36]81], or one- [37][38][39][40] port technique. A suggested classification incorporating both of these aspects is shown in Table 1.…”

Section: Classification Of Laparoscopic Repairs For Cihmentioning

confidence: 99%

“…All studies except three (Table 3) [27,30,39] have adopted the closed technique using the Veress needle to establish capnoperitoneum, showing its safety, especially for the virgin abdomen [4,5,10,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][28][29][30][31][32][33][34][35][36][37][38][39][40]. Intraabdominal pressure ranging from 5 to 12 mmHg has been found sufficient for the procedure [4,5,.…”

Section: Pneumoperitoneummentioning

confidence: 99%

“…Use of a steel awl [32,33] ii. Use of the Reverdin needle [36,82] iii. Use of the endoneedle [31,34,35] 2.…”

Section: Needles and Suturesmentioning

confidence: 99%

“…To overcome the need for intracorporeal suturing and knotting, the maxillary steel awl [32,33] and the Reverdin needle [36,81] have been introduced percutaneously through the ipsilateral groin to act as a needle and its holder rolled into one. Special endoneedles that can hold a suture at the tip also have been designed and used for the purpose (e.g., Lapaherclosure, a 19-gauge needle) [31,34,35].…”

Section: Extraperitoneal Approachesmentioning

confidence: 99%

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Minimal access surgery of pediatric inguinal hernias: a review

2008

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Inguinal hernia is a common problem among children, and herniotomy has been its standard of care. Laparoscopy, which gained a toehold initially in the management of pediatric inguinal hernia (PIH), has managed to steer world opinion against routine contralateral groin exploration by precise detection of contralateral patencies. Besides detection, its ability to repair simultaneously all forms of inguinal hernias (indirect, direct, combined, recurrent, and incarcerated) together with contralateral patencies has cemented its role as a viable alternative to conventional repair. Numerous minimally invasive techniques for addressing PIH have mushroomed in the past two decades. These techniques vary considerably in their approaches to the internal ring (intraperitoneal, extraperitoneal), use of ports (three, two, one), endoscopic instruments (two, one, or none), sutures (absorbable, nonabsorbable), and techniques of knotting (intracorporeal, extracorporeal). In addition to the surgeons' experience and the merits/limitations of individual techniques, it is the nature of the defect that should govern the choice of technique. The emerging techniques show a trend toward increasing use of extracorporeal knotting and diminishing use of working ports and endoscopic instruments. These favor wider adoption of minimal access surgery in addressing PIH by surgeons, irrespective of their laparoscopic skills and experience. Growing experience, wider adoption, decreasing complications, and increasing advantages favor emergence of minimal access surgery as the gold standard for the treatment of PIH in the future. This article comprehensively reviews the laparoscopic techniques of addressing PIH.

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