Single-incision approach for bilateral inguinal hernia repair in children

Chongxi, Ren; Wang, Hongqiao; Li, Fengying; Wang, Xin; Hongxia, Qi; Liu, Xing

doi:10.1097/md.0000000000019376

Cited by 1 publication

(2 citation statements)

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“…Clinical data survey and follow-up revealed that, in comparison to patients who underwent laparoscopic bilateral inguinal herniorrhaphy (LBIH), those who received this treatment had an equally low recurrence rate, minimal issues, and good cosmetic results. 13 In contrast to earlier studies in which children had bilateral inguinal incisions within an average of 30-40 minutes, the average operating time in our study was 8-10 minutes shorter. The surgical outcomes of patients receiving Single Incision Laparoscopic Surgery (SILS) versus multiple Incision Laparoscopic Surgery (MILS) for inguinal hernia repair were compared in 15 comparative studies on 1651 individuals.…”

Section: Discussioncontrasting

confidence: 83%

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Repair of Bilateral Inguinal Hernia in Children with a Single Cosmetic Incision. Our Experience in Tertiary Care Center

Qureshi¹,

Chand²,

Sumera³

et al. 2022

PJMHS

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Aim: To evaluate the advantages/benefits of a single cosmetic incision approach for the repair of bilateral inguinal hernia in children. Study design: A cross-sectional study Place and Duration of study: Pediatric surgery department, Liaquat University of Medical & Health Sciences Jamshoro from February 2017 and June 2022 Methodology: Bilateral inguinal herniorrhaphies were performed on a total of 178 children and infants who received treatment in succession. A single, transverse, 2.5-cm long suprapubic incision was performed in 89 (50%) of the patients, and the Scarpa fascia was punctured using cautery. The external ring was located and opened after retracting the wound, and the ilioinguinal nerve was safeguarded. After testicular vascular and sac separation from vas deference, the hernial sac is delicately Trans ligated with 3-0 Vicryl (Ethicon), closed was the external oblique aponeurosis. The wound was then retracted to the opposite side and treated there using the same technique. Results: Ages ranged from 3 months to 11 years at the time of operation (average, 29.8 months). 56.93% of the patients—96—were under the age of one, with 51 of them—28.65%—being under the age of six months. 48 patients were 1 to 5 years old, and 24 were over the age of 5. The average operating time was 8–10 minutes shorter than it had been in the past for children who had undergone bilateral inguinal incisions, which typically took 30–40 minutes. The visual look and overall outcomes have pleased the patients and parents. There haven't been any recurrences so yet. Conclusion: In order to improve therapeutic impact and lower the risk of complications and recurrence, we develop a single incision method for bilateral inguinal herniorrhaphies. Depending on the availability of a paediatric surgeon with the necessary experience and skills, a single incision technique for treating a child's bilateral inguinal hernia is practical, safe, and can be provided to patients. Keywords: single incision approach, inguinal herniorrhaphies, children, cosmetics

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Section: Discussioncontrasting

confidence: 83%

“…A similar study describe the results of this procedure on 99 girls aged 12 or younger who experienced no recurrences, minor problems, and a superb, dependable median follow-up of 5 years. 11 In our study 128 (71.91%) were male and 50 (28.08%) were female children. A different study was done on only female children.…”

Section: Discussionmentioning

confidence: 45%