A true laparoscopic herniotomy in children: evaluation of long-term outcome

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Stefan GisekePaul Philippe

Abstract

Thirteen years of experience with a laparoscopic technique mimicking, as closely as possible, the classical open technique are presented in this report. Consecutive laparoscopic herniotomies in 385 children (178 girls and 207 boys; age 0.13 to 16.8 years) with a total of 525 hernia repairs were included into a retrospective review. Overall, 95% of children were treated on a day-care basis; all operations were completed laparoscopically. Mean operation time was 32.1 minutes (26.2 for unilateral hernias and 34.5 for bilateral). In total, 10.1% of children presented with clinically bilateral hernias, whereas 29.2% of clinical unilateral hernias had a patent contralateral processus vaginalis. We discovered femoral hernias in 2.6% and direct inguinal hernias in 0.5% of the cases. In 79 cases, a concomitant of umbilical herniorraphy was performed. There were no cases of testicular malposition or atrophy. We had a 1% hernia recurrence rate. Cosmetic outcome was excellent. Laparoscopy provides the surgeon with a superior diagnostic tool, facilitating the diagnosis of any kind of inguinal hernia or controlateral patent processus vaginalis and its repair in the same session; surgery- and anesthesia-related stress is minimized. This makes...Continue Reading

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Citations

Dec 28, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S M K ShehataA M Hassan
Jun 28, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yoon-Jung BooJi-Sung Lee
Jan 18, 2013·Minimally Invasive Surgery·Rafik ShalabyMaged Ali Shouker
Oct 16, 2012·Journal of Surgical Technique and Case Report·Christopher S Lukong
Oct 1, 2015·Journal of Pediatric Urology·H AhmedA M S Shahin
Jun 23, 2015·Journal of Pediatric Surgery·Ahmed AbdElgaffar Helal
Jun 7, 2011·International Journal of Surgery·M F A WrightF D Munro
Feb 10, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sherif M ShehataAkram M ElBatarny
Dec 22, 2017·Asian Journal of Endoscopic Surgery·Belén Aneiros CastroAndrés Gómez Fraile
Oct 31, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rafik ShalabyMohamad Magid
Dec 15, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yu-Tang ChangChi-Shu Chiu
Apr 19, 2018·Current Urology Reports·Diana K BowenArun K Srinivasan
Jan 2, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R ChenS Qi
Aug 25, 2020·Minimally Invasive Surgery·Ahmed Abdelghaffar HelalMuhammad Abdelhafez
Nov 29, 2020·Journal of Pediatric Surgery·Denise I GarciaAaron P Lesher
Apr 19, 2021·Journal of Pediatric Surgery·Ancuta MunteanFarhan Khaliq Tareen

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