Single-site laparoscopic burnia for inguinal hernias in girls: comparison with open repair

Duh, Yih Cherng; Chang, Pei‐Yeh; Huang, Hsuan Cheng; Fu, Yu; Hsu, Yao Jen; Wei, Chin Hung; Shen, Ming Hung

doi:10.1007/s00464-020-07983-w

Cited by 5 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An alternative viewpoint proposes that complete sac excision may not be imperative, suggesting laparoscopic sac transection near the internal ring to create a circumferential defect in the peritoneum, potentially sufficient for repair. Studies indicating comparable outcomes between sac transection and distal ligation warrant further exploration and simplification of laparoscopic herniotomy techniques in both genders [9][10][11][12][13][14][15]. While various techniques exist for laparoscopic herniotomy, further research is warranted to refine and simplify approaches, optimizing outcomes for pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A Prospective Study

Shanbhogue,

Alsinan,

Baki

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: The utilization of laparoscopic techniques in the management of inguinal hernias among pediatric patients has seen a rising trend. We aimed to assess the efficacy of laparoscopic excision of the hernial sac as a suitable approach for managing inguinal hernias specifically in female patients and conducted a prospective study to investigate this hypothesis.Methods: Over a comprehensive four-year period, a total of 99 hernias in 69 female patients were surgically addressed using laparoscopic methods. The surgical procedure primarily involved the laparoscopic inversion and excision of the hernial sac without subsequent distal suturing.Results: During the initial phase of the study, two cases encountered recurrences within 48 hours postoperation, potentially attributed to incomplete excision. However, in the subsequent period, no further recurrences were recorded.Conclusion: Our study findings support the contention that laparoscopic excision of the sac, without adjunctive closure of the peritoneum, suffices as an effective approach for managing inguinal hernias in female pediatric patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A Prospective Study

Shanbhogue,

Alsinan,

Baki

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…21 Furthermore, it requires minimal laparoscopic skills, and complication and recurrence rates are low. 22,23 Surprisingly, the most common LIHR techniques in adolescents were also the PIRS technique (31%) and the intracorporeal purse-string suturing (7%). Since adolescents rather resemble adults in terms of body habitus, some surgeons prefer TEP and TAPP repairs in this patient population.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Techniques in Laparoscopic Inguinal Hernia Repairs across Pediatric Age Groups: EUPSA Trainees of European Pediatric Surgery Survey

Ulman,

Aubert,

Wiernik

et al. 2024

Eur J Pediatr Surg

View full text Add to dashboard Cite

Aim This survey analyzed techniques in laparoscopic inguinal hernia repair (LIHR) across pediatric age groups. Materials and Methods Data were collected through an online survey for pediatric surgeons, comprising of 38 questions, conducted by the European Pediatric Surgeons' Association (EUPSA) Trainees of European Pediatric Surgery (TEPS) LIHR Working Group. Results The survey was completed by 183 surgeons from 22 countries. Seventy-seven percent of respondents had performed LIHR at least once. Regarding preferences about the patient's gender, 7% respondents perform LIHR only in selected females, 9% routinely in females, 15% in both genders with age/weight restrictions, 24% routinely in both genders, 31% in selected cases, and 14% never perform LIHR. Percutaneous internal ring suturing (PIRS) was the preferred technique in all age groups, with totally extraperitoneal and transabdominal preperitoneal repairs preferred by 9% in adolescents. The majority (59%) repaired a contralateral patent processus vaginalis if present. Hydro-dissection (21%) and additional intra-abdominal instruments (42%) were preferred more often for male patients. The distal hernia sac was left intact by most respondents (92%). Responses regarding recurrence rates varied: 40% responded that LIHR had recurrence rates comparable to open surgery, whereas 10% reported increased recurrences and hence limited its use, and 10% consider that slightly increased recurrences are outweighed by lower complication rates associated with laparoscopic methods and thus continue LIHR. Conclusions PIRS is the preferred choice for pediatric LIHR. Surgical techniques vary and are influenced by patient gender and age. The survey gives insights into demographics, case selection, and approaches among pediatric surgeons with regard to LIHR.

show abstract

Reduction of recurrence by peritoneal thermal injury in laparoscopic percutaneous extraperitoneal closure of internal ring for inguinal hernia in children

2023

View full text Add to dashboard Cite

Single-site laparoscopic burnia for inguinal hernias in girls: comparison with open repair

Cited by 5 publications

References 6 publications

Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A Prospective Study

Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A Prospective Study

Analysis of Techniques in Laparoscopic Inguinal Hernia Repairs across Pediatric Age Groups: EUPSA Trainees of European Pediatric Surgery Survey

Reduction of recurrence by peritoneal thermal injury in laparoscopic percutaneous extraperitoneal closure of internal ring for inguinal hernia in children

Contact Info

Product

Resources

About