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Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases

INTRODUCTION: Paediatric inguinal hernias (IHs) are common. The first paediatric laparoscopic hernia repair was described by El-Gohary and colleagues in the United Arab Emirates in 1993. Both laparoscopic inguinal hernia repair (LIHR) and open repair still exist concurrently with no consensus on gol...

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Autores principales: O’Brien, Lukas, Hannan, Enda, Hassett, Sinead
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892070/
https://www.ncbi.nlm.nih.gov/pubmed/35316454
http://dx.doi.org/10.1007/s11845-022-02975-2
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author O’Brien, Lukas
Hannan, Enda
Hassett, Sinead
author_facet O’Brien, Lukas
Hannan, Enda
Hassett, Sinead
author_sort O’Brien, Lukas
collection PubMed
description INTRODUCTION: Paediatric inguinal hernias (IHs) are common. The first paediatric laparoscopic hernia repair was described by El-Gohary and colleagues in the United Arab Emirates in 1993. Both laparoscopic inguinal hernia repair (LIHR) and open repair still exist concurrently with no consensus on gold standard treatment at present. The purpose of this study was to retrospectively evaluate our initial experience with LIHR in paediatric patients. METHODS: A retrospective observational cohort study of all paediatric patients that underwent LIHR in our institution was performed. Intraoperative and postoperative outcomes were examined. RESULTS: During the study period, 102 patients were scheduled for LIHR. The majority (76.5%) were male with a median age of 5 months. Thirty two patients (31.4%) were neonates at the time of surgery. The majority of cases (83.3%) were elective procedures. There were no instances of intraoperative vascular or visceral injury. Most patients underwent surgery as a day case. Eighteen patients underwent bilateral LIHR. The recurrence rate was 1.9%. These occurred in the first two patients to undergo LIHR, after which no recurrences were observed following a modification of the technique. The overall complication rate was 7.1%, most of which were managed conservatively. CONCLUSION: Paediatric LIHR is a safe, feasible and effective procedure that is associated with a short inpatient length of stay, a low recurrence rate and low postoperative complication rate. The technique is versatile and can be used to treat both elective and emergency presentations with IH in a wide age range.
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spelling pubmed-98920702023-02-03 Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases O’Brien, Lukas Hannan, Enda Hassett, Sinead Ir J Med Sci Original Article INTRODUCTION: Paediatric inguinal hernias (IHs) are common. The first paediatric laparoscopic hernia repair was described by El-Gohary and colleagues in the United Arab Emirates in 1993. Both laparoscopic inguinal hernia repair (LIHR) and open repair still exist concurrently with no consensus on gold standard treatment at present. The purpose of this study was to retrospectively evaluate our initial experience with LIHR in paediatric patients. METHODS: A retrospective observational cohort study of all paediatric patients that underwent LIHR in our institution was performed. Intraoperative and postoperative outcomes were examined. RESULTS: During the study period, 102 patients were scheduled for LIHR. The majority (76.5%) were male with a median age of 5 months. Thirty two patients (31.4%) were neonates at the time of surgery. The majority of cases (83.3%) were elective procedures. There were no instances of intraoperative vascular or visceral injury. Most patients underwent surgery as a day case. Eighteen patients underwent bilateral LIHR. The recurrence rate was 1.9%. These occurred in the first two patients to undergo LIHR, after which no recurrences were observed following a modification of the technique. The overall complication rate was 7.1%, most of which were managed conservatively. CONCLUSION: Paediatric LIHR is a safe, feasible and effective procedure that is associated with a short inpatient length of stay, a low recurrence rate and low postoperative complication rate. The technique is versatile and can be used to treat both elective and emergency presentations with IH in a wide age range. Springer International Publishing 2022-03-22 2023 /pmc/articles/PMC9892070/ /pubmed/35316454 http://dx.doi.org/10.1007/s11845-022-02975-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
O’Brien, Lukas
Hannan, Enda
Hassett, Sinead
Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
title Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
title_full Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
title_fullStr Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
title_full_unstemmed Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
title_short Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
title_sort laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892070/
https://www.ncbi.nlm.nih.gov/pubmed/35316454
http://dx.doi.org/10.1007/s11845-022-02975-2
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