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A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision
BACKGROUND: Inguinal hernia repair remains one of the most common operations performed by pediatric surgeons. We described a new surgical approach for treating bilateral inguinal hernias in girls through a small single transverse supra-pubic incision. MATERIALS AND METHODS: A new approach was perfor...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586978/ https://www.ncbi.nlm.nih.gov/pubmed/26628807 http://dx.doi.org/10.4103/0971-9261.154649 |
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author | Zarroug, Abdalla E. Alkhebel, Antar M. Gibreel, Waleed O. Almassry, Mohammed |
author_facet | Zarroug, Abdalla E. Alkhebel, Antar M. Gibreel, Waleed O. Almassry, Mohammed |
author_sort | Zarroug, Abdalla E. |
collection | PubMed |
description | BACKGROUND: Inguinal hernia repair remains one of the most common operations performed by pediatric surgeons. We described a new surgical approach for treating bilateral inguinal hernias in girls through a small single transverse supra-pubic incision. MATERIALS AND METHODS: A new approach was performed on female children 12-years-old and younger with bilateral inguinal hernias between January 2005 and April 2012. TECHNIQUE: A single transverse suprapubic incision (1-1.5 cm) was made. Using sharp and blunt dissection bilateral hernias were exposed and repaired using a standard high ligation. RESULTS: Ninety-nine girls with a preoperative clinical diagnosis of bilateral inguinal hernia were included. Median age was 2 years (range: 1 month to 12 years). All patients underwent general anesthesia. Median operative time was 12 minutes (range 5-22). There were no intra-operative complications or misdiagnosis. Two patients had bilateral sliding hernias and the remainder had indirect hernias. Post-operatively two patients developed non-expanding small hematomas, both treated non-operatively without sequelae. There were zero hernia recurrence and median follow-up was 5 years (range: 1-8 years) on 99% of patients. CONCLUSION: We described a new, safe, simple, and rapid approach for bilateral inguinal hernia repair in female pediatric population. A single transverse suprapubic skin incision was adequate for exposing both inguinal regions with excellent postoperative results. |
format | Online Article Text |
id | pubmed-4586978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-45869782015-12-01 A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision Zarroug, Abdalla E. Alkhebel, Antar M. Gibreel, Waleed O. Almassry, Mohammed J Indian Assoc Pediatr Surg Original Article BACKGROUND: Inguinal hernia repair remains one of the most common operations performed by pediatric surgeons. We described a new surgical approach for treating bilateral inguinal hernias in girls through a small single transverse supra-pubic incision. MATERIALS AND METHODS: A new approach was performed on female children 12-years-old and younger with bilateral inguinal hernias between January 2005 and April 2012. TECHNIQUE: A single transverse suprapubic incision (1-1.5 cm) was made. Using sharp and blunt dissection bilateral hernias were exposed and repaired using a standard high ligation. RESULTS: Ninety-nine girls with a preoperative clinical diagnosis of bilateral inguinal hernia were included. Median age was 2 years (range: 1 month to 12 years). All patients underwent general anesthesia. Median operative time was 12 minutes (range 5-22). There were no intra-operative complications or misdiagnosis. Two patients had bilateral sliding hernias and the remainder had indirect hernias. Post-operatively two patients developed non-expanding small hematomas, both treated non-operatively without sequelae. There were zero hernia recurrence and median follow-up was 5 years (range: 1-8 years) on 99% of patients. CONCLUSION: We described a new, safe, simple, and rapid approach for bilateral inguinal hernia repair in female pediatric population. A single transverse suprapubic skin incision was adequate for exposing both inguinal regions with excellent postoperative results. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4586978/ /pubmed/26628807 http://dx.doi.org/10.4103/0971-9261.154649 Text en Copyright: © Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Zarroug, Abdalla E. Alkhebel, Antar M. Gibreel, Waleed O. Almassry, Mohammed A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision |
title | A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision |
title_full | A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision |
title_fullStr | A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision |
title_full_unstemmed | A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision |
title_short | A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision |
title_sort | new, simple operative approach for bilateral inguinal hernia repair in girls: a single transverse supra-pubic incision |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4586978/ https://www.ncbi.nlm.nih.gov/pubmed/26628807 http://dx.doi.org/10.4103/0971-9261.154649 |
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