Laparoscopic Treatment of Inguinal Ovarian Hernia in Female Infants and Children: Standardizing the Technique

Esposito, Ciro; Gargiulo, Francesco; Farina, Alessandra; Conte, Fulvia Del; Cortese, Giuseppe; Servillo, Giuseppe; Escolino, Maria

doi:10.1089/lap.2018.0630

Cited by 14 publications

(14 citation statements)

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“…Twelve retrospective case series (n=506 patients) were included in the systematic review, whereas none could be included for quantitative analysis of the results (Appendix 3) 103,104,106,107,[110][111][112][115][116][117][118][119] .…”

Section: Resultsmentioning

confidence: 99%

“…Several authors suggest that both reducible and irreducible asymptomatic ovarian inguinal hernias should be repaired within a few days following diagnosis 104,108,109 , whereas others state that asymptomatic irreducible ovaries should be treated with urgent manual, or if unsuccessful, operative reduction 112,116 . The reported incidence of ovarian strangulation in girls with irreducible hernias among the included studies was between 0-36% (Table 5) 104,108,109,112 . Turk et al operated on 7 girls with irreducible hernias within 24-72 hours after their presentation (semi-elective) and reported no strangulations 109 .…”

Section: Resultsmentioning

confidence: 99%

“…Esposito et al performed surgical repair in 16 patients that presented with asymptomatic irreducible hernias within 1-4 days after diagnosis and also reported no cases of strangulation or torsion. All patients underwent follow-up ultrasonography one year after surgery and none of the ovaries atrophied 108 . In contrast, Hirabayashi et al evaluated 71 girls who were diagnosed as having asymptomatic ovarian hernias at a median age of 1.5 months, of whom 58 underwent surgery at a median age of 11 months, as their policy was to postpone surgery until 9 months of age.…”

Section: Resultsmentioning

confidence: 99%

“…Ovarian inguinal hernias comprise 13-22% of all hernias in female children [103][104][105][106] and are most common in infants before one year of age 104,[107][108][109] . Incarcerated inguinal hernias in girls involve the ovary in 58-82% 110,111 .…”

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee

et al. 2021

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Introduction Inguinal hernia repair represents the most common operation in childhood; however, consensus about the optimal management is lacking. Hence, recommendations for clinical practice are needed. This study assesses the available evidence and compiles recommendations on pediatric inguinal hernia. Materials and Methods The European Pediatric Surgeons' Association Evidence and Guideline Committee addressed six questions on pediatric inguinal hernia repair with the following topics: (1) open versus laparoscopic repair, (2) extraperitoneal versus transperitoneal repair, (3) contralateral exploration, (4) surgical timing, (5) anesthesia technique in preterm infants, and (6) operation urgency in girls with irreducible ovarian hernia. Systematic literature searches were performed using PubMed, MEDLINE, Embase (Ovid), and The Cochrane Library. Reviews and meta-analyses were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. Results Seventy-two out of 5,173 articles were included, 27 in the meta-analyses. Laparoscopic repair shortens bilateral operation time compared with open repair. In preterm infants, hernia repair after neonatal intensive care unit (NICU)/hospital discharge is associated with less respiratory difficulties and recurrences, regional anesthesia is associated with a decrease of postoperative apnea and pain. The review regarding operation urgency for irreducible ovarian hernia gained insufficient evidence of low quality. Conclusion Laparoscopic repair may be beneficial for children with bilateral hernia and preterm infants may benefit using regional anesthesia and postponing surgery. However, no definite superiority was found and available evidence was of moderate-to-low quality. Evidence for other topics was less conclusive. For the optimal management of inguinal hernia repair, a tailored approach is recommended taking into account the local facilities, resources, and expertise of the medical team involved.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee

et al. 2021

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“…Отмечается, что мальчики болеют в 10 раз чаще девочек. Среди детей, в основном, встречаются непрямые паховые грыжи, а частота встречаемости прямых паховых и бедренных грыж, а также их комбинаций, по данным авторов, не превышает 2 % [7,8].…”

Section: Introductionunclassified

Video-assisted percutaneous hernia sac suturing: a new technique of inguinal hernia repair in children

Pavlushin

Михайлович²,

Gramzin

et al. 2020

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Background. Inguinal hernias are very important problem in pediatric surgery. It appears in 520 cases in every 1000 newborns, approximately 10 times prevalence in males. However, the incidence of inguinal hernia is bigger by 1.52 times in group of premature infants. Materials and methods. In prospective study, that was performed in 20192020, 90 pediatric patients diagnosed inguinal hernia were included. All patients had open herniotomy (Duhamel method), subcutaneous endoscopic-assisted ligation of inguinal hernia using Tuohy needle, or video-assisted percutaneous hernial sac suturing (VIPS). Results. The mean operating time in VIPS group was 13 13.46 min in patients with unilateral inguinal hernia and 20 6.12 min in patients with bilateral variant. In the 6-month follow-up period, any complications or recurrences were not observed. VIPS group included two extremely premature infant with uni- and bilateral inguinal hernia. Minimally invasive herniotomy was performed in 50 weeks post-conceptual age, with unremarkable postoperative period. A difference was found in the operating time between groups of minimally invasive herniotomy and group of Duhamel repair. No difference was found in the operating time of bilateral hernia between all groups. Conclusion. Considered all things, assuming that announced method of video-assisted percutaneous hernial sac ligation to be a perspective minimal invasive way of treatment for inguinal hernia in children is reasonable. However, for final conclusions, further study of this surgical technique, also in a cohort of premature infants, is required, with the possible organization of multicenter clinical trials.

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Single-incision laparoscopic percutaneous extraperitoneal closure (SILPEC) for inguinal hernia with prolapsed ovary

et al. 2021

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Laparoscopic Treatment of Inguinal Ovarian Hernia in Female Infants and Children: Standardizing the Technique

Cited by 14 publications

References 24 publications

Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee

Surgical Management of Pediatric Inguinal Hernia: A Systematic Review and Guideline from the European Pediatric Surgeons' Association Evidence and Guideline Committee

Video-assisted percutaneous hernia sac suturing: a new technique of inguinal hernia repair in children

Single-incision laparoscopic percutaneous extraperitoneal closure (SILPEC) for inguinal hernia with prolapsed ovary

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