Laparoscopic inguinal preperitoneal injection--novel technique for inguinal hernia repair: preliminary results of experimental study

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Yury KozlovAlexey Solovjev

Abstract

Inguinal hernia repair is the most common procedure in pediatric surgery. Suture techniques for laparoscopic inguinal hernia repair in children are easy to perform and popular with a low recurrence rate. The aim of this study was to evaluate the effect of laparoscopic preperitoneal injection of three-dimensional gel on closing of the inguinal hernia sac (IHS) in laboratory animals. With the animals under general anesthesia, we performed peritoneoscopy in 12 male Chinchilla rabbits weighing 1200-1400 g. The endoscope was introduced into the abdominal cavity, and bilateral deep inguinal rings were identified. A Tuohy needle with the injectable polymeric bulking agent DAM+™ (three-dimensional polyacrylamide gel with silver ions [Argiform(®) from Bioform(®)]) was introduced preperitoneally. The implant was then injected across the entire orifice of the deep inguinal rings and draped over the cord structures. After completion of bilateral repairs, the rabbits were extubated and observed in the animal laboratory. Then the second laparoscopy was performed 6 months later, and the deep inguinal rings were inspected. The postoperative course was uneventful in all the animals. At the second laparoscopy no reopening of the entire orifice o...Continue Reading

References

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Citations

Mar 15, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Todd A PonskyDaniel J Ostlie
Dec 31, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mairi StevenMerrill McHoney
May 3, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Si Min ParkSeok Joo Han
Aug 28, 2016·The Journal of Surgical Research·Quan XuFei Peng
Nov 14, 2016·Pediatric Surgery International·Ian C GlennTodd A Ponsky
Dec 1, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shiho YoshidaAtsuyuki Yamataka

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Methods Mentioned

BETA
dissection
light spectroscopy

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