Shalaby technique for efficient single incision laparoscopic pediatric inguinal hernia repair

Journal of Pediatric Surgery
Rafik ShalabyAbdelmonaem Shams

Abstract

The desire to reduce incision related morbidity and pain while achieving improve cosmetic results has recently led to the introduction of single incision pediatric endosurgery [SIPES]. Over the last few years, SIPES has been increasingly used for a variety of procedures; single incision laparoscopic hernia repair [SILHR] is perhaps its common application. Intracorporeal suturing and knot tying during SIPES remain one of the most challenging tasks. The aim of this study is to present a novel technique to avoid excessive purposeless movements during SILHR in children. One-hundred and fifty patients with 170 hernial defects were subjected to SILHR during the period from June 2009 to October 2011. Extraperitoneal saline was injected around internal inguinal ring [IIR] in males. The opened IIR was closed by percutaneous insertion of purse string suture using Reverdin Needle (RN) with intracorporeal suture tie. The main outcome measurements were; feasibility of the technique, tightness of the suture tie, operative time, postoperative hydrocele formation, recurrence rate, and cosmetic results. Ages ranged between 6 months and 7 years (mean 2±24.2years). There were 101 males and 49 females. Eighty-four patients presented with right sid...Continue Reading

References

Sep 29, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Dariusz PatkowskiWojciech Apoznański
Oct 27, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shaphan R JerniganGregory Buckner
Nov 3, 2010·Journal of Pediatric Surgery·Rafik ShalabyMohamad Abdelaziz
Jan 5, 2011·Journal of Minimal Access Surgery·John Thanakumar, Pravin Hector John
Dec 14, 2011·Journal of Pediatric Surgery·Xuewu ZhouWangyong Shan
Jan 18, 2013·Minimally Invasive Surgery·Rafik ShalabyMaged Ali Shouker
Mar 22, 2014·Journal of Pediatric Surgery·Rafik ShalabyOmar Alsamahy
Apr 15, 2014·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Przemysław K Wolak, Dariusz Patkowski

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Citations

Oct 31, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rafik ShalabyMohamad Magid
Mar 29, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Kun WangGang-Quan Wu
Apr 18, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H YonggangY Jing
Aug 25, 2020·Minimally Invasive Surgery·Ahmed Abdelghaffar HelalMuhammad Abdelhafez

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