Laparoscopy through the open ipsilateral sac to evaluate presence of contralateral hernia

Wulkan, Mark L.; Wiener, Eugene S.; VanBalen, Nancy; Vescio, Peter J.

doi:10.1016/s0022-3468(96)90112-8

Cited by 77 publications

(33 citation statements)

References 8 publications

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“…The initial use of laparoscopy in the pediatric hernia patient was to examine the contralateral groin, either through a port or the opened hernia sac, during open unilateral hernia surgery [8][9][10][11]. Recently, the use of laparoscopic herniorrhaphy in pediatric surgery has jumped due to improvements in laparoscopic techniques [1][2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

et al. 2005

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We recently introduced the laparoscopic percutaneous extraperitoneal closure (LPEC) method for the treatment of girls with inguinal hernia. Using the LPEC method, 129 girls underwent laparoscopic herniorrhaphy. A 5 mm laparoscope was inserted via the umbilicus. A 3 mm "snake retractor" was advanced through the lateral abdominal wall to measure the length of the hernia sac and contralateral patent processus vaginalis (PPV), respectively. The hernia sac and PPV were closed at the level of the internal inguinal ring with a 2-0 non-absorbable purse-string suture using Lapaherclosure, a special 19G needle that can hold a suture at the tip. The length of the hernial sac was significantly longer than that of contralateral PPV (mean 41 mm; range 18-70 mm; P < 0.05). There were no serious complications associated with the procedure. No recurrence of hernia or metachronous contralateral hernia has been identified so far. This approach enables us to perform contralateral exploration without any additional techniques, followed by immediate and accurate closure of the hernia sac and PPV. We conclude that the LPEC method is a safe and efficacious procedure with a low recurrence rate that should be viewed as an acceptable alternative to the traditional open approach.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls

et al. 2005

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“…The introduction of the laparoscope through the open hernia sac is now utilized in pediatric surgery, primarily for assessing the contralateral inguinal ring for a patent processus vaginalis [1, 4,6]. This method has helped to reduce the need for contralateral inguinal explorations in the pediatric hernia population, without any additional burdens in terms of operating room time or cost.…”

Section: Discussionmentioning

confidence: 99%

Planned reduction of incarcerated groin hernias with hernia sac laparoscopy

2002

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“…Anhand der stratifizierten Daten ist eine eindeutige umgekehrte Proportionalität zum Alter des Kindes zu verzeichnen. Geisler et al [7] beschreiben eine insgesamt erhöhte Inzidenz eines kontralateral offenen PVP bei Mädchen, was jedoch in der Analyse von Wulkan et al nicht bestätigt wird [22]. Diese Zahlen decken sich auch mit der in unserem Kollektiv gefundenen Rate von 42%, wobei hier nur Säuglinge unter einem Jahr eingeschlossen wurden.…”

Section: Introductionunclassified