Laparoscopic approach to incarcerated inguinal hernia in children

Kaya, Mete; Hückstedt, Thomas; Schier, Felix

doi:10.1016/j.jpedsurg.2005.11.066

Cited by 56 publications

(50 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A recent study described laparoscopy-assisted reduction of incarcerated inguinal hernia [5]. Some authors prefer the reduction of incarcerated or irreducible inguinal hernia under laparoscopic control [1], whereas others have recommended laparoscopy with inguinal hernia repair to check whether the contralateral inguinal orifice is open or closed [6].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia

2007

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia

2007

View full text Add to dashboard Cite

show abstract

“…Morphologic variations of the internal ring [71] and differences in dimensions between mere patencies of the processus vaginalis and formed hernial sacs have been documented laparoscopically, thereby indicating those that need to be addressed by surgery [34]. Laparoscopy also has been found accurate in detecting the nature of the defects in children presenting with rare [78], recurrent [78,79], and incarcerated [80,81] groin hernias, and also in detecting other concomitant pathologies [82].…”

Section: Diagnostic Laparoscopymentioning

confidence: 99%

“…This fear was subsequently shown to be unfounded, as the technique was extended to males [4,5, to manage recurrent [78,79] and incarcerated [80,81] hernias, with equally good results.…”

Section: Laparoscopic Repairmentioning

confidence: 99%

See 1 more Smart Citation

Minimal access surgery of pediatric inguinal hernias: a review

2008

View full text Add to dashboard Cite

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.

show abstract

“…The surgical repair is easy to perform, relatively safe and has minimal postoperative morbidities 4,5,6 . Delay in repair or failure to recognize and diagnose the condition may result in development of incarceration.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Lawal¹,

Olulana²,

Ogundoyin³

et al. 2017

East. Cent. Afr. J. Surg.

View full text Add to dashboard Cite

Background: In patients with incarcerated inguinal hernia, initial manual reduction, which is not always feasible, rather than immediate surgery, is associated with fewer complications. The aim of the study was to evaluate factors associated with successful manual reduction of incarcerated inguinal hernia in children. Methods: A prospective cohort study between January 2010 and December 2014 of children admitted with incarcerated inguinal hernia to a single surgical unit. Results: A total of 34 patients with a median age of 4.2 months (range: 2 weeks to 14 years) were recruited. Manual reduction was attempted in 23 (67.6%) patients and successful in 13 (56.5%). A total of 9 (26.5%) patients had bowel strangulation. Shorter incarceration (median of 18.2 vs. 48.4 hours, p = 0.004) and longer duration of previous swelling (median of 20 vs. 3.5 weeks, p = 0.029) were associated with successful manual reduction. Bowel strangulation rate was higher amongst patients excluded from manual reduction, using the set criteria, compared to those who had failed reduction (77.8% vs. 22.2%, p = 0.044). Conclusions: Manual reduction is more likely to be successful in patients who present early after incarceration as well as those with wider internal rings.

show abstract

Laparoscopic approach to incarcerated inguinal hernia in children

Cited by 56 publications

References 6 publications

Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia

Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia

Minimal access surgery of pediatric inguinal hernias: a review

Factors Associated With Manual Reduction of Incarcerated Inguinal Hernia in Children

Contact Info

Product

Resources

About