Laparoscopic herniorrhaphy in children

Abstract

Laparoscopic herniorrhaphy allows the surgeon to identify the type of defect and proceed with immediate treatment. This technique is safe, reproducible, and technically easy for experienced laparoscopists. Bilaterality is of no concern. The cosmetic results are excellent; and in patients with recurrence of a hernia, this procedure is preferable to the open technique.

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

“…Recently, laparoscopic inguinal herniorrhaphy has been introduced as an alternative to conventional open repair in children [1][2][3][4][5][6][7]. In our institute, laparoscopic surgery in girls with inguinal hernia was started in 2001 and since then the use of laparoscopic procedures has increased rapidly.…”

Mechanical Complications of Peritoneal Dialysis

“…We have previously reported the use of diagnostic laparoscopy (DL) in patients with acute genital edema and suspected PD leakage to make a definitive diagnosis and accurately differentiate bilateral and unilateral inguinal hernias [44]. This is important because the rate of PPV on the opposite side in patients with unilateral hernias approaches 25% [45,46] and failure to identify this will result in recurrent genital edema and the need for reoperation. The accuracy of DL approaches 100% and has a less than 1% complication rate [47,48].…”

Laparoscopic Hernia Repair and Its Validation by Second-Look Inspection to Internal Inguinal Rings in Children with Patent Processus Vaginalis

“…A previous comparative study of this technique with the traditional cut-down repair method proved the superiority of this technique with respect to the parental perspective and choice, operative time, recurrence rate, metachronous appearance of contralateral hernia, complication of the reproductive system, and cosmetic results (Endo et al, 2009). However, some concerns have been voiced regarding the use of laparoscopic herniorrhaphy in children such as the use of a simple closure without the division of the hernial sac, evidence of a completely closed internal inguinal ring (IIR), validity with regard to future recurrence, and the high risk of adhesion (Miltenburg et al, 1998, Gorsler et al, 2003, Saranga et al, 2008. Since 1996, when we began to close PPV laparoscopically, we have conducted prospective studies involving laparoscopic inspection at previous operation sites at every opportunity so as to validate the efficacy of this procedure.…”