Single-port laparoscopic percutaneous extraperitoneal closure of inguinal hernia using “two-hooked” core needle apparatus in children

Yonggang, H.; Qin, Changfu; Ping, Wen; Zhang, Fang‐Jie; Wang, Hao; Zicheng, G; Guo-Dong, Gao; Ye, Jing

doi:10.1007/s10029-019-01933-9

Cited by 21 publications

(15 citation statements)

References 23 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: 89%

“…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. Its safety and effectiveness were studied.…”

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: 89%

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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“…LHR can detect MCH and contralateral PPV simultaneously, which is a significant advantage of laparoscopic surgery over open surgery [ 11 ]. However, it is still controversial whether the contralateral PPV should be ligated at the same time [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China

Liu

Xiu

et al. 2020

BMC Surg

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Background Pediatric inguinal hernia (PIH) is a common disease in children. Laparoscopic hernia repair (LHR) has developed rapidly in recent years, but there are still different opinions compared with traditional open hernia repair (OHR). The purpose of this study was to compare the advantages and disadvantages of LHR and OHR in the treatment of pediatric inguinal hernia. Methods We performed a retrospective review of all children (< 14 years) who underwent repair of inguinal hernia in the pediatric surgery center of the Affiliated Hospital of Qingdao University from January 2015 to December 2015. We collected the medical records of all the children and analyzed the clinical characteristics, operation-related information and follow-up. Results In the OHR group, 202 cases underwent unilateral inguinal hernia repair, and 43 cases underwent bilateral inguinal hernia repair. In the LHR group, 168 cases underwent unilateral inguinal hernia repair, and 136 cases underwent bilateral inguinal hernia repair. There was a significant difference in the operation time between the two groups, but there were no significant differences in postoperative hospitalization time and incidence of ipsilateral recurrent hernia between the two groups. The incidence rates of metachronous contralateral hernia (MCH) and surgical site infection in LHR group were significantly lower than those in the OHR group. Conclusion Our study shows that compared with OHR, LHR has the advantages of concealed incision, minimal invasiveness, reduced operation time, detection of contralateral patent processus vaginalis, and reduced incidence of MCH. In conclusion, LHR is safe and effective in the treatment of pediatric indirect inguinal hernia.

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“…With the development of minimally invasive medicine and increasing development of various minimally invasive surgical instruments, the pediatric inguinal hernia surgery has gradually transitioned from the traditional open surgery through the groin to minimally invasive laparoscopic surgery and developed from the original three-port and two-port laparoscopy to the latest transumbilical single-port laparoscopic surgery [7][8][9]. Meanwhile, the closure method of hernial inner ring opening has developed from the initial intraperitoneal suture and ligation to the current laparoscopic percutaneous extraperitoneal closure (LPEC) [10][11][12][13]. Moreover, some scholars have also reported the use of various home-made surgical instruments for single-site laparoscopic herniorrhaphy to treat pediatric inguinal hernia, and favorable efficacy has been attained [14].…”

Section: Discussionmentioning

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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Single-port laparoscopic percutaneous extraperitoneal closure of inguinal hernia using “two-hooked” core needle apparatus in children

Cited by 21 publications

References 23 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

A comparative study examining laparoscopic and open inguinal hernia repair in children: a retrospective study from a single center in China

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

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