Laparoscopic Hernia Sac Transection and Intracorporeal Ligation Show Very Low Recurrence Rate in Pediatric Inguinal Hernia

2012 ◽  
Vol 22 (7) ◽  
pp. 720-723 ◽  
Author(s):  
Yoon-Jung Boo ◽  
Hyung-Joon Han ◽  
Woong-Bae Ji ◽  
Ji-Sung Lee
Keyword(s):  
Inguinal Hernia ◽  
Recurrence Rate ◽  
Hernia Sac ◽  
Pediatric Inguinal Hernia ◽  
Intracorporeal Ligation

A Review of the Incidence, Manifestation, Predisposing Factors, and Management of Recurrent Pediatric Inguinal Hernia

2017 ◽  
Vol 27 (06) ◽  
pp. 478-483 ◽  
Author(s):  
Antti Koivusalo
Keyword(s):  
Inguinal Hernia ◽  
Recurrence Rate ◽  
Wide Spectrum ◽  
Laparoscopic Approach ◽  
Recurrent Hernia ◽  
University Hospital ◽  
Current Evidence ◽  
Recurrent Inguinal Hernia ◽  
Recurrence Rates ◽  
Pediatric Inguinal Hernia

AbstractRecurrent pediatric inguinal hernia is relatively rare. In a large series, the recurrence rates vary from 0.3 to 1.2%. In a university hospital with surgical service for a wide spectrum of sick pediatric patients, the real recurrence rate may be 3 to 6%. Recurrence manifests typically 6 months after first repair. Current evidence indicates that recurrence rates in open and laparoscopic repair are similar. Laparoscopic repairs are, however, still performed by a minority of skilled pediatric surgeons, whereas the majority of pediatric surgeons rely on open repair not least because of the assumed lower risk of recurrence. After repair of an indirect hernia, the majority of recurrences (97%) are indirect, whereas in rare cases the recurrence turns out to be a formerly undiagnosed direct or femoral hernia. In Children's Hospital of Helsinki, Finland, recurrence rate from 2012 to 2016 was 2.8% and operations for recurrent hernias comprised 3.3% of the total. From 1991 to 2017, a total of 130 operations for recurrent hernias were performed with open inguinal approach (n = 75, 58%), laparoscopy (n = 49, 38%), and laparotomy (n = 4, 4%). One teenage patient underwent a Lichtenstein Prolene net repair. A recurrent inguinal hernia can be repaired either with an open or laparoscopic approach. In laparoscopy, the nature of the recurrent hernia can be clarified and an immediate repair performed either by laparoscopic or open technique. In expert hands new laparoscopic techniques using muscular arch, lateral umbilical ligament, iliopubic tract, and division of the sac may be an alternative to a simple purse-string closure.

The pathological evaluation of the pediatric inguinal hernia sac

1998 ◽  
Vol 33 (5) ◽  
pp. 717-718 ◽  
Author(s):  
William J Wenner ◽  
Marta Gutenberg ◽  
Timothy Crombleholme ◽  
Cory Flickinger ◽  
Scott P Bartlett
Keyword(s):  
Inguinal Hernia ◽  
Hernia Sac ◽  
Pediatric Inguinal Hernia ◽  
Pathological Evaluation

To the casuistry of inguinal and femoral hernias with unusual contents

1934 ◽  
Vol 30 (7-8) ◽  
pp. 788-788
Author(s):  
К. W. Helmstaedt
Keyword(s):  
Inguinal Hernia ◽  
Hernia Sac ◽  
Pediatric Inguinal Hernia

The author cites 6 cases of unusual findings in the hernia sac: Mesquel's diverticulum in the hernia sac, appendicitis in the hernia sac, appendicitis with empyema of the hernia sac with concurrent right-sided inguinal hernia, encapsulated hemorrhage in the hernia sac, ovary and tube prolapse in a pediatric inguinal hernia.

Individualized treatment of pediatric inguinal hernia reduces adolescent recurrence rate: an analysis of 3006 cases

Surgery Today ◽  
2019 ◽  
Vol 50 (5) ◽  
pp. 499-508
Author(s):  
Cheng Bing Chu ◽  
Jie Chen ◽  
Ying Mo Shen ◽  
Su Jun Liu ◽  
Li Sun ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Recurrence Rate ◽  
Individualized Treatment ◽  
Pediatric Inguinal Hernia

Laparoscopy is increasingly used for pediatric inguinal hernia repair

2021 ◽  
Author(s):  
Matthew P. Shaughnessy ◽  
Nathan L. Maassel ◽  
Nicholas Yung ◽  
Daniel G. Solomon ◽  
Robert A. Cowles
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pediatric Inguinal Hernia

De Garengeot Hernia: Appendicitis within a Femoral Hernia

2005 ◽  
Vol 71 (6) ◽  
pp. 526-527 ◽  
Author(s):  
Gabriel Akopian ◽  
Magdi Alexander
Keyword(s):  
Inguinal Hernia ◽  
Femoral Hernia ◽  
18Th Century ◽  
Hernia Sac ◽  
Rare Finding ◽  
Amyand Hernia ◽  
De Garengeot Hernia

Many surgeons are familiar with Amyand hernia, which is an inguinal hernia sac containing an appendix. However, few surgeons know of the contribution of Rene Jacques Croissant de Garengeot, an 18th century Parisian surgeon, to hernias. He is quoted in the literature as the first to describe the appendix in a femoral hernia sac. We discuss the case of an 81-year-old woman who presented with appendicitis within a femoral hernia, a rare finding at surgery that is almost never diagnosed preoperatively. We also propose crediting Croissant de Garengeot by naming this condition after him. Although his full last name is Croissant de Garengeot, for convenience we suggest the simple diagnosis of “de Garengeot hernia.”

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