Inguinal Hernias and Hydroceles

Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia

“…The open operation has, however, remained the standard treatment for an elective and uncomplicated inguinal hernia as well as for an incarcerated inguinal hernia [1,2]. While we agree that the open operation is the mainstay of treatment for inguinal hernia in children, we think that laparoscopy may be useful in special situations including an incarcerated inguinal hernia.…”

“…The trocar sites were closed in layers with absorbable thread. Open herniotomy was performed according to standard methods described in textbooks on pediatric surgery [1,2]. Each operation was performed by one of five consultant pediatric surgeons.…”

“…Elective surgery may be performed 24-48 h after MR when edema and swelling of the hernia sac and the associated structures have subsided [1,2]. In recent years the laparoscopic inguinal hernia operation has been performed on children [3,4].…”

Preserving the continuity of round ligament along with hernia sac in indirect inguinal hernia repair in female children does not increase the recurrence rate of hernia. Experience with 217 cases

“…The documented late complication of IIH in female children is recurrence and damage to the fallopian tube, the latter being more probable in sliding hernia [1].…”

“…The continuity of round ligament along with hernia sac is routinely divided immediately distal to the transligature at the level of internal ring during the standard procedure and some surgeons cut off the excess of sac and round ligament [1][2][3][4][5][6]. Typically, the proximal stump, including sac and round ligament, is brought under the internal oblique muscle and then sutured in place or attached to the conjoint tendon (Bastionelli maneuver) in order to reestablish the normal support for the uterus [1].…”