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Laparoscopic Inguinal Hernia Repair in Children

BACKGROUND: This study aimed to document the authors' experience with laparoscopic inguinal hernia repair in children. METHODS: Ninety-three hernia repairs were performed in 64 children. The neck was closed with a purse string suture by using 4-0 absorbable suture. RESULTS: Ninety-three indirec...

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Autores principales: Chinnaswamy, Palanivelu, Malladi, Vijaykumar, Jani, Kalpesh V., Parthasarthi, R., Shetty, Roshan A., Kavalakat, Alfie Jose, Prakash, Anand
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015638/
https://www.ncbi.nlm.nih.gov/pubmed/16381352
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author Chinnaswamy, Palanivelu
Malladi, Vijaykumar
Jani, Kalpesh V.
Parthasarthi, R.
Shetty, Roshan A.
Kavalakat, Alfie Jose
Prakash, Anand
author_facet Chinnaswamy, Palanivelu
Malladi, Vijaykumar
Jani, Kalpesh V.
Parthasarthi, R.
Shetty, Roshan A.
Kavalakat, Alfie Jose
Prakash, Anand
author_sort Chinnaswamy, Palanivelu
collection PubMed
description BACKGROUND: This study aimed to document the authors' experience with laparoscopic inguinal hernia repair in children. METHODS: Ninety-three hernia repairs were performed in 64 children. The neck was closed with a purse string suture by using 4-0 absorbable suture. RESULTS: Ninety-three indirect inguinal hernial sacs were closed in 64 children. Nine percent of children had an ectopic testis. The mean operating time for laparoscopic ring closure was 25 minutes (range, unilateral 21 to 35; bilateral, 28 to 50). The contralateral processus vaginalis was patent in 20% of children. In 24% of children, the final procedure was modified based on the findings of a dilated internal ring. A laparoscopic ilio-pubic tract repair was done in these cases. Laparoscopic mobilization, orchiopexy followed by ilio-pubic tract repair was done in 9% of children. Scrotal swelling occurred in one child. Hydrocoele occurred in one patient. Recurrence rate was 3.1%. CONCLUSION: Laparoscopic inguinal hernia repair in children can be offered, as it is safe, reproducible, and technically easy for experienced laparoscopic surgeons. Iliopubic tract repair may be added in cases with dilated internal ring. Recurrence following laparoscopic ring closure can be managed with laparoscopic ilio-pubic tract repair. The long-term follow-up of laparoscopic ilio-pubic tract repair is awaited.
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spelling pubmed-30156382011-02-17 Laparoscopic Inguinal Hernia Repair in Children Chinnaswamy, Palanivelu Malladi, Vijaykumar Jani, Kalpesh V. Parthasarthi, R. Shetty, Roshan A. Kavalakat, Alfie Jose Prakash, Anand JSLS Scientific Papers BACKGROUND: This study aimed to document the authors' experience with laparoscopic inguinal hernia repair in children. METHODS: Ninety-three hernia repairs were performed in 64 children. The neck was closed with a purse string suture by using 4-0 absorbable suture. RESULTS: Ninety-three indirect inguinal hernial sacs were closed in 64 children. Nine percent of children had an ectopic testis. The mean operating time for laparoscopic ring closure was 25 minutes (range, unilateral 21 to 35; bilateral, 28 to 50). The contralateral processus vaginalis was patent in 20% of children. In 24% of children, the final procedure was modified based on the findings of a dilated internal ring. A laparoscopic ilio-pubic tract repair was done in these cases. Laparoscopic mobilization, orchiopexy followed by ilio-pubic tract repair was done in 9% of children. Scrotal swelling occurred in one child. Hydrocoele occurred in one patient. Recurrence rate was 3.1%. CONCLUSION: Laparoscopic inguinal hernia repair in children can be offered, as it is safe, reproducible, and technically easy for experienced laparoscopic surgeons. Iliopubic tract repair may be added in cases with dilated internal ring. Recurrence following laparoscopic ring closure can be managed with laparoscopic ilio-pubic tract repair. The long-term follow-up of laparoscopic ilio-pubic tract repair is awaited. Society of Laparoendoscopic Surgeons 2005 /pmc/articles/PMC3015638/ /pubmed/16381352 Text en © 2005 by the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Chinnaswamy, Palanivelu
Malladi, Vijaykumar
Jani, Kalpesh V.
Parthasarthi, R.
Shetty, Roshan A.
Kavalakat, Alfie Jose
Prakash, Anand
Laparoscopic Inguinal Hernia Repair in Children
title Laparoscopic Inguinal Hernia Repair in Children
title_full Laparoscopic Inguinal Hernia Repair in Children
title_fullStr Laparoscopic Inguinal Hernia Repair in Children
title_full_unstemmed Laparoscopic Inguinal Hernia Repair in Children
title_short Laparoscopic Inguinal Hernia Repair in Children
title_sort laparoscopic inguinal hernia repair in children
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015638/
https://www.ncbi.nlm.nih.gov/pubmed/16381352
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