Laparoscopic Ligation of Inguinal Hernia in Girls

Abstract

Between 1993 and 1997, 28 girls with inguinal hernia were managed laparoscopically at our hospital. Their age ranged between 5 months and 10 years. Clinically, 15 of the hernias were on the right side, 9 were on the left, and 4 were bilateral. At laparoscopy, one of the suspected cases of bilateral hernia had a hernia only on one side. Two patients with a suspected left-sided unilateral hernia and one with a suspected right-sided unilateral hernia were found to have hernias on the contralateral side. All hernial sacs were ligated laparoscopically by applying endoscopie loops around the base of the inverted hernia sac. This procedure proves to be simple, safe, and effective.

Two-year experience with minimally invasive herniorrhaphy in children

“…In 1992, Lobe and Schropp [4] reported the use of the laparoscope to evaluate the contralateral groin during unilateral hernia surgery to avoid the associated risks as well as the longitudinal incision required for routine open exploration. In 1997, ElGohary [1] reported the actual repair of pediatric inguinal hernias using an endoscopic loop to close the inverted hernia sac in girls. Montupet and Esposito [5] were the first to report successful laparoscopic herniorrhaphy in boys.…”

“…Although commonly used to examine the contralateral groin during unilateral open herniorrhaphy, primary repair of pediatric inguinal hernias has not gained wide acceptance and is only performed by a few pediatric surgeons [1]. Proponents of laparoscopy claim excellent visual exposure, no disruption of the soft tissues of the inguinal canal, minimal postoperative discomfort, comparable recurrence rates, and improved cosmesis [3,8].…”

Хірургічна Корекція Пахвинних Гриж В Дітей Із Застосуванням Міні-Інвазивного Методу PIRS

“…Перші праці M.A. El-Gohary (1997) та F. Schier (1998) з лапароскопічної корекції пахвинних гриж у дітей стосувалися дівчаток, що створило перестороги щодо пошкодження елементів сім'яного канатика в хлопчиків [15,16]. Подальші спостереження та зібраний досвід вказали, що такі оперативні втру-…”

Laparoscopic Approach as an Alternative Option in Treatment of Pediatric Inguinal Hernia

“…It is a reciprocal approach where the base of the hernia sac is ligated at the level of the internal inguinal ring, but mostly differs from the original open technique in leaving the sac in place. Albeit the described laparoscopic techniques, there is no single laparoscopic approach that has replaced the traditional repair (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57) . The repair can be classified into two broad categories (intra or extraperitoneal) based on their approaches to the internal ring.…”