Establishment of Single-Port, Laparoscopic, Pediatric Hernia Repair in a Developing Country

Rajbhandari, Nripesh; Karki, B; Guglielmetti, Laura; Vuille‐dit‐Bille, Raphael N.

doi:10.1089/lap.2020.0547

Cited by 7 publications

(8 citation statements)

References 29 publications

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“…Intracorporeal suturing and knotting are becoming unpopular among pediatric surgeons according to the results of various studies. Intraabdominal skills are necessary, such as intracorporeal suturing, knotting and needle handling, which in essence take up a lot of time in context of the time needed to carry out the procedure [16].…”

Section: Discussionmentioning

confidence: 99%

“…At the beginning, the laparoscopic treatment often lasted longer than the open technique treatment. 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].…”

Section: Discussionmentioning

confidence: 99%

“…In comparision with open surgery, laparoscopic hernioplasty offers excellent visual exposition, minimal dissection and reduced trauma of the surrounding tissue. It offers the opportunity to identify unexpected conditions, such as direct or femoral hernia, as well as other intraabdominal processes and pathologies (intersexual anomalies) and other conditions [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…The trend has been turned towards the application of laparoscopic techniques with a rapid movement forward and a number of different laparoscopic techniques, an upward trend of the use of extracorporeal knotting and decrease of the use of working ports and endoscopic instruments, as alternatives for open surgery [10][11][12][13][14][15][16].…”

Section: Introductionmentioning

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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Regardless of these advantages, SLPEC has a steep learning curve [5]. Regardless of these advantages, SLPEC has a steep learning curve [5]. The technical challenge is to pass a device with a suture through the gap between the vas deferens and the peritoneum.…”

Section: Introductionmentioning

confidence: 99%

Single-port laparoscopic herniorrhaphy using reverse puncture technique without hydrodissection in treatment of pediatric inguinal hernia

Zeng¹,

Xue²,

Wei³

et al. 2022

Preprint

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Background In single-port laparoscopic percutaneous extraperitoneal closure, hydrodissection is commonly used. Although hydrodissection makes the operation easier, it can cause shock and twist the vas deferens. The aim of this study was to investigate whether the reverse puncture technique could be used instead of hydrodissection.Methods Between March 2019 and January 2021, 132 children with inguinal hernias underwent single-port laparoscopic percutaneous extraperitoneal closure using the reverse puncture technique. The double-hook core needle with a suture was used to puncture the abdominal cavity along the lateral border of the internal ring under single-port laparoscopic vision. The suture was left in the abdominal cavity. The needle was then passed through the gap between the vas deferens / spermatic vessels and the peritoneum along the medial border of the internal ring to capture the end of the suture. The suture was tied in the extraperitoneal space after it was brought out of the abdominal wall.Results The 132 patients, 106 males and 26 females, had an average age of 2.71 ± 2.18 years. Sixty patients were chosen for bilateral surgery, with 57 of them having contralateral patent processus vaginalis. The average operating time for unilateral and bilateral cases was 9.9 ± 2.1 and 15.4 ± 3.3 minutes, respectively. One patient had a recurrence during the 9 to 24 month follow-up period (0.7%).Conclusions For the treatment of pediatric inguinal hernias, single-port laparoscopic percutaneous extraperitoneal closure utilizing the reverse puncture technique provides a simpler and safer option.

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Efficacy of a modified needle grasper for single-port laparoscopic hernia repair in children: a propensity score-matched analysis

Liu,

Xu,

Huang

et al. 2023

Pediatr Surg Int

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Establishment of Single-Port, Laparoscopic, Pediatric Hernia Repair in a Developing Country

Cited by 7 publications

References 29 publications

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

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

Single-port laparoscopic herniorrhaphy using reverse puncture technique without hydrodissection in treatment of pediatric inguinal hernia

Efficacy of a modified needle grasper for single-port laparoscopic hernia repair in children: a propensity score-matched analysis

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