Laparoscopic herniotomy in children: prospective assessment of tertiary center experience in a developing country

Shehata, Sherif M.; Attar, Ashraf A El; Attia, Mohamed A.; Hassan, Ahmed M

doi:10.1007/s10029-012-1031-1

Cited by 20 publications

(9 citation statements)

References 26 publications

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“…No intraoperative complications occurred in this study and this may be due to the meticulous dissection of the hernia sac and the careful sweeping of the vas and testicular vessels during manipulation of the peritoneum. Similar results were also reported in many other studies [14,21,22].…”

Section: Discussionsupporting

confidence: 92%

Laparoscopic repair of congenital inguinal hernia: a comparative study between purse–string suture and peritoneal disconnection with ligation techniques in bilateral cases

et al. 2020

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Background/purpose Many laparoscopic surgical techniques were described for management of inguinal hernia in pediatric patients. This prospective study was conducted to compare laparoscopic purse-string suture of hernia sac at the internal ring at one side, leaving the distal sac intact (technique I) and disconnection of the hernia sac with intra-corporeal suture of proximal part at the internal ring (technique II) in the other side in the same case. Patients and methods Thirty three patients with bilateral congenital inguinal hernia (66 repairs) were included in this study. The outcome variables were operative time, intraoperative complications, post-operative complications and recurrence rate. Results This study included 28 males and 5 females. The age of the patients ranged from 1 to 72 month with a mean of (15.27 ± 19.09). The operative time was shorter in technique I than in technique II and this difference was statistically significant. No intraoperative complications were reported. Five cases (15%) developed hydrocele and two cases (6%) developed recurrence in technique I during the follow up period. Conclusion Laparoscopic repair of congenital inguinal hernia using laparoscopic disconnection of the sac and closure of the internal ring has lower recurrence rate and hydrocele formation but longer operative time compared to laparoscopic purse-string closure alone. Due to the high rate of recurrence in technique I, there is definite superiority of technique II as a surgical option.

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Section: Discussionsupporting

confidence: 92%

Laparoscopic repair of congenital inguinal hernia: a comparative study between purse–string suture and peritoneal disconnection with ligation techniques in bilateral cases

et al. 2020

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“…They removed the whole sac. Shehata et al [23] reported a 0% recurrence in 20.5 months follow-up using separation only; however, they closed/repaired internal rings >20 mm. Also, in the recent study by Shehata et al [24] they reported that no recurrences had been detected in the follow-up.…”

Section: Discussionmentioning

confidence: 99%

Needlescopic suturless repair of congenital inguinal hernia: A randomized controlled study

Shalaby

Abdelmaboud

Daboos

et al. 2023

Preprint

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Background: Many techniques have been published in the literature about laparoscopic treatment of congenital inguinal hernia [CIH]. Division of the sac, with suturing the peritoneal defect has been advocated by many authors. Others stated that peritoneal disconnection alone is enough. This study aimed to compare the results of needlescopic disconnection of CIH sac with or without peritoneal defect suturing as regards feasibility, operative details, recurrence rate, and postoperative complications. Patients and Methods: This study has been conducted prospectively on children operated upon by needlescopic separation of hernia sac at its neck with or without peritoneal defect suturing over the Internal Inguinal Ring [IIR] in the period from January 2020 to December 2022. Results: A total of 230 patients with 260 hernial defects were corrected by needlescopic disconnection with either suturing or without suturing of the defect. They comprised of 141 (61.3%) males, and 89 (38.7%) females. Their ages ranged from 0.5 to 12 years (mean=5.14 ± 2.79). Patients were distributed into group A (N=116 patients) and group B (N=114 patients). In sac separation and closure of the defect group A, the mean operative time was 27.98 ± 2.89 [Rang = from 20 to 30 minutes] for unilateral cases and 37.29 ± 4.68 [Range = from 25 to 40 minutes] for bilateral one, whereas in group B, the mean operative time was 20.37 ± 2.37 [Range=from 15 to 25 minutes] for one-sided and 23.38 ± 2.22 [Range =from 20 to 25 minutes] in two-sided cases. Conclusion: Needlescopic separation of hernia sac with suturing of peritoneal defect and disconnection without suturing for pediatric inguinal hernia repair, are feasible, safe, and less invasive with no recurrence and outstanding cosmetic results. However, non- suturing of peritoneal defect gives significantly shorter operative time than suturing of peritoneal defect

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“…In our series of 125 patients who underwent surgery, a younger median age of 22.3 months (range, 12-68 months) was observed compared with the median ages reported in other studies. 7,8 Acceptance of the laparoscopic method for pediatric hydroceles is attributed to the maturation and popularization of the laparoscopic repair of inguinal hernias in children, the safety and feasibility of which has been demonstrated by several studies at various centers. [9][10][11] As a minimally invasive technique, this procedure could be considered an ambulatory surgery.…”

Section: Commentmentioning

confidence: 98%

Application of a Laparoscopic, Single-port, Double-needle Technique for Pediatric Hydroceles With Multiple Peritoneal Folds: A Trial From a Single-center 5-Year Experience

Lin

et al. 2015

Urology

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Laparoscopic herniotomy in children: prospective assessment of tertiary center experience in a developing country

Cited by 20 publications

References 26 publications

Laparoscopic repair of congenital inguinal hernia: a comparative study between purse–string suture and peritoneal disconnection with ligation techniques in bilateral cases

Laparoscopic repair of congenital inguinal hernia: a comparative study between purse–string suture and peritoneal disconnection with ligation techniques in bilateral cases

Needlescopic suturless repair of congenital inguinal hernia: A randomized controlled study

Application of a Laparoscopic, Single-port, Double-needle Technique for Pediatric Hydroceles With Multiple Peritoneal Folds: A Trial From a Single-center 5-Year Experience

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