Laparoscopic percutaneous inguinal hernia repair in children: Review of technique and comparison with open surgery

Timberlake, Matthew D.; Herbst, Katherine W.; Rasmussen, Sara K.; Corbett, Sean T.

doi:10.1016/j.jpurol.2015.04.008

Cited by 35 publications

(22 citation statements)

References 25 publications

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“…During the follow-up periods, there was no complications for all the patients although the laparoscopic group had been followed-up for a shorter time. From the results, we can propose that minimal invasive concept of single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls was acceptable and practicable, which has been suggested by many recent studies [1][2][3][4][5][6][7][8][9][10][11]. The application of an epidural needle assisted by the towel forceps was convenient, effective and safe.…”

Section: Discussionmentioning

confidence: 93%

“…The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practised recent years [1][2][3][4][5][6][7][8][9][10][11]. The applicable instruments and skills are still evolving and being probed, such as modified Kirschner pin, epidural needle, optical forceps assisting, twohooked cannula device and two-hooked core needle apparauts et al [1,2,7,8,10] In this study, we used an epidural needle assisted by a towel forceps to practise this minimal invasive method for inguinal hernias repair in girls.…”

Section: Introductionmentioning

confidence: 99%

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Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Xiao

2020

BMC Surg

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Background: The concept of single-port laparoscopic percutaneous extraperitoneal closure for the treatment of inguinal hernias repair in children has been practising recent years. The applicable instruments and skills are still evolving. In this study, we used an epidural needle assisted by a towel forceps to practise this minimal invasive method for inguinal hernias repair in girls. Its safety and effectiveness were studied. Methods: From July 2008 to January 2020, thirty-five girls diagnosed of indirect inguinal hernias were studied retrospectively. From April 2017 to January 2020, the author was free to propose open or laparoscopic repair for the patients. The open group included twenty-four girls and the laparoscopic group included eleven. The data of the patients age, constituent ratios of sliding and bilateral hernias, operating time, postoperative time in hospital, follow-up time, conversion, postoperative complications were assessed. Results: There were no statistically significant difference between the laparoscopic group and open group for the following items: age, operating time, postoperative time in hospital, the constituent ratios of sliding hernia and bilateral hernias (P > 0.05). The follow-up time of the open group was longer than that of the laparoscopic group (P = 0.0004). One laparoscopic case was converted to open surgery. After 12 cases of laparoscopic practice, coordination of the hand and eye movements established well. There were no postoperative complications for all the patients. Conclusion: Our preliminary experience suggested that it is safe and convenient for inguinal hernias repair in girls by the single-port laparoscopic percutaneous extraperitoneal closure method using an epidural needle assisted by a towel forceps.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Xiao

2020

BMC Surg

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“…Inguinal hernia (IH) is the most common surgical condition of childhood, affecting 1%-2% of mature infants and up to 30% of premature infants [1] .…”

Section: Introductionmentioning

confidence: 99%

The Incidence of Inguinal Hernia among Children

Alrzoq

Alhaji

Alolayt

et al. 2018

Egyptian Journal of Hospital Medicine

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The aim of this study was to document clinical features of inguinal hernia (IH) in the pediatric populace. It delivers data to assess related risk factors of incarcerated hernia, its reappearance in addition to the occurrence of contra lateral metachronous hernia. Materials and Methods: We report a retrospective analytic study comprising 230 children presenting with IH and operated from April 2015 to June 2017 in the pediatric surgery department, King Abdulaziz Hospital. Results: We managed 36 girls (15.6%) and 194 boys (84.4%). The mean age was 3 years; The median age in the studied group was 3 years (range 22 days to 12 years). Males were predominantly affected (84.4%, n = 194). The rate of IH was more important in the youngest group (age < 2 years); thus, we accounted 43.5% (n = 100) infants. The cumulative incidence of hernia in the 2-6-year age group was 34.7% (n = 80). Thirteen percent (n = 31) of these patients presented with an incarceration mostly on the right side (62.6%, n = 154). We recognized that the total rate of incarcerated hernia incidence in premature group was evaluated at 27%. This rate was high, particularly in neonates and infants. Prematurity and hypotrophy were documented in 9% and 7% respectively. The mean follow-up period was 3.8 years. We think that incarceration can be related to several risk factors such as feminine gender, prematurity, and the initial left side surgical repair of the hernia. Conclusion: IH occurs mainly in male infants. Prematurity and male gender was identified as risk factors of incarceration. Contralateral metachronous hernia was reported, especially in female infants and after a left side surgical repair of the hernia.

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“…In the past 20 years, with the development of minimally invasive technology, laparoscopic inguinal herniorrhaphy has been emerging in China and in other countries [1,2]. Numerous clinical studies indicate that laparoscopic surgery is obviously superior to traditional surgery for pediatric inguinal hernia, especially for children with bilateral hernias, giant hernia, and recurrent hernia, which shows a trend towards replacing the traditional open surgery [3,4]. Therefore, to confirm the results of previous studies on laparoscopic surgery, this study was conducted to explore the feasibility and surgical efficacy of a transumbilical single-port laparoscopic water-injection hernia crochet needle in treating pediatric inguinal hernia.…”

Section: Introductionmentioning

confidence: 99%

Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle.

Zhou

Chen

Jiang

2019

Videosurgery and Other Miniinvasive Techniques

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Introduction: Inguinal hernia is the most common disease in pediatric surgery and is induced by congenital processus vaginalis patency. Almost all inguinal hernias are inguinal indirect hernias, and herniorrhaphy has accounted for about 15% of all pediatric operations. In the past 20 years, with the development of minimally invasive technology, laparoscopic inguinal herniorrhaphy has been emerging in China and in other countries. Aim: To introduce a new technique for treating inguinal hernia in children, and evaluate the feasibility and surgical efficacy of a transumbilical single-port laparoscopic water-injection hernia crochet needle in treating pediatric inguinal hernia. Material and methods: Clinical data of 136 inguinal hernial children treated using a transumbilical single-port laparoscopic water-injection hernia crochet needle in our hospital from June 2017 to December 2018 were retrospectively analyzed. Results: All procedures were successfully accomplished, and no case was converted to a different procedure; the average operation time was 16 min for one side and 35 min for both sides. Patients were followed for an average of 10 months after surgery. One patient had a line-knot reaction at the inguinal puncture point 3 months after surgery and recovered after conservative treatment, and no recurrent case was observed after surgery. Conclusions: It is feasible to treat pediatric inguinal hernia through a transumbilical single-port laparoscopic water-injection hernia crochet needle, which is associated with safety, less trauma, rapid recovery, no obvious scar, and satisfactory efficacy. Therefore, it is worthy of being promoted and applied in clinical practice.

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Laparoscopic percutaneous inguinal hernia repair in children: Review of technique and comparison with open surgery

Cited by 35 publications

References 25 publications

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

Single-port laparoscopic percutaneous extraperitoneal closure for inguinal hernias repair in girls: using an epidural needle assisted by a towel forceps

The Incidence of Inguinal Hernia among Children

Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle.

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