Laparoscopic repair of incarcerated inguinal hernia. A safe and effective procedure to adopt in children

Abstract

The laparoscopic approach to IIH appears easy to perform from the technical point of view. The 3 main advantages of laparoscopic approach are that all edematous tissue are surgically bypassed and the cord structures are not touched; the reduction is performed under direct visual control, and above all, an inspection of the incarcerated organ is performed at the end of procedure.

Irreducible inguinal hernia in children: how serious is it?

“…Interestingly, no such problems were seen by investigators managing small cohorts of irreducible hernias with laparoscopic techniques (15,23). However large series summarizing the results of inguinal hernia repair confirm the occurrence of the aformentioned intra-operative comorbidities (Table 1).…”

“…A prolapsed ovary -overall the second most common finding -is in females almost exclusively the cause of an irreducible hernia (4,14,15).…”

“…Several investigators -including us -have published favourable data on the use of laparoscopic techniques in incarcerated hernias (13,15,(19)(20)(21)(22). The three advantages quoted most frequently are: a. repair of the hernia bypassing edematous cord structures, b. inspecting the reduced organ (e.g.…”

“…The three advantages quoted most frequently are: a. repair of the hernia bypassing edematous cord structures, b. inspecting the reduced organ (e.g. gut or ovary) for viability and c. assessing for the presence of a possible contralateral patent processus vaginalis (13,15,(19)(20)(21)(22).…”

Reasons for Recurrence After the Laparoscopic Repair of Indirect Inguinal Hernia in Children

“…It is also safe for small babies and patients with an incarcerated inguinal hernia. [2][3][4] Therefore, the use of laparoscopic hernia repair has spread widely in China.…”