scholarly journals Our Laparoscopic Surgical technique and experience in treating pediatric inguinal hernia over the past decade

2020 ◽  
Vol 25 (1) ◽  
pp. 28
Author(s):  
Dheidan Alshammari ◽  
Marina Sica ◽  
Isabelle Talon ◽  
Isabelle Kauffmann ◽  
Raphael Moog ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Surgical Technique ◽  
Pediatric Inguinal Hernia ◽  
The Past

scholarly journals Comparison of Laparoscope-Assisted Single-Needle Laparoscopic Percutaneous Extraperitoneal Closure versus Open Repair for Pediatric Inguinal Hernia

2021 ◽  
Author(s):  
Shaofeng Wu ◽  
Xiaoyu Xing ◽  
Rong He ◽  
Haiteng Zhao ◽  
Liang Zhong ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Open Repair ◽  
Operating Time ◽  
Laparoscopic Approach ◽  
Bilateral Hernia ◽  
Pediatric Inguinal Hernia ◽  
The Past ◽  
Attractive Option ◽  
Contralateral Inguinal Hernia

Abstract Background: Laparoscopic repairs have gained gradual acceptance in pediatric inguinal hernia over the past decade. However, consensus about the optimal management is still lacking. The aim of this study is to present a modified single-needle laparoscopic approach with the assistance of a laparoscope and to evaluate the surgical outcomes in comparison with traditional open repair method. Materials and Methods: We retrospectively reviewed the medical data of children who underwent laparoscope-assisted single-needle laparoscopic percutaneous extraperitoneal closure (LPEC) and open repair (OR) for inguinal hernia from 2014 to 2019. Data were reviewed and analyzed with respect to the operating time, the incidence of metachronous contralateral inguinal hernia (MCIH), recurrence, and other complications. Results: In our cohort, 961 patients in the OR group and 1098 patients in the LPEC group were analyzed retrospectively. Mean operative time was significantly shorter in the LPEC group (22.3±3.5 min) than in the OR group (27.8±5.9 min) for bilateral hernia repair (p<0.001). Iatrogenic cryptorchidism occurred statistically more frequently in the OR group than in the LPEC group (0.4% vs. 0%, p=0.013). In addition, the incidence of MCIH was 3.7% (33/887) in the OR group and 0.3% (3/1014) in the LPEC group (p<0.01). Conclusion: Based on the current outcomes, laparoscope-assisted single-needle LPEC provides a simple and attractive option for the administration of pediatric patients with inguinal hernia/hydrocele to reduce the MCIH.

scholarly journals Technical Refinements in Single-Port Laparoscopic Surgery of Inguinal Hernia in Infants and Children

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Yu-Tang Chang
Keyword(s):  
Inguinal Hernia ◽  
Single Port ◽  
Hernia Recurrence ◽  
Pediatric Inguinal Hernia ◽  
Hernia Defect ◽  
The Past ◽  
Subcutaneous Tissues ◽  
Ultimate Attainment ◽  
Access Surgery ◽  
In Infants And Children

The techniques of minimal access surgery for pediatric inguinal hernia are numerous and they continue to evolve, with a trend toward increasing use of extracorporeal knotting and decreasing use of working ports and endoscopic instruments. Single-port endoscopic-assisted percutaneous extraperitoneal closure seems to be the ultimate attainment, and numerous techniques have mushroomed in the past decade. This article comprehensively reviews and compares the various single-port techniques. These techniques mainly vary in their approaches to the hernia defect with different devices, which are designed to pass a suture to enclose the orifice of the defect. However, most of these emerging techniques fail to entirely enclose the hernia defect and have the potential to lead to higher incidence of hernia recurrence. Accompanying preperitoneal hydrodissection and keeping identical subcutaneous path for introducing and withdrawing the suture, the suture could tautly enclose the hernia defect without upper subcutaneous tissues and a lower peritoneal gap, and a trend towards achieving a near-zero recurrence rate.

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

Ultrasound-guided pediatric inguinal hernia repair

2021 ◽  
Author(s):  
Kevin N. Johnson ◽  
Cory N. Criss ◽  
Ronald B. Hirschl ◽  
Maria Ladino-Torres ◽  
Daniel Yang ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Ultrasound Guided ◽  
Pediatric Inguinal Hernia

Endoscopic Septal Spur Resection

1993 ◽  
Vol 7 (5) ◽  
pp. 213-216 ◽  
Author(s):  
Donald C. Lanza ◽  
Deborah Farb Rosin ◽  
David W. Kennedy
Keyword(s):  
Surgical Technique ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Sinus Surgery ◽  
Surgical Approaches ◽  
Postoperative Results ◽  
Valuable Alternative ◽  
Perioperative Morbidity ◽  
The Past ◽  
Septal Spur

A variety of surgical approaches exists for the management of nasal septal spurs in patients who undergo endoscopic sinus surgery (ESS). Treatment of septal spurs in the past has been frequently addressed by septoplasty which can result in increased bleeding and length of surgical procedure as well as mandate postoperative nasal packing. Individually each of these problems can jeopardize the success of endoscopic sinus surgery. An endoscopic approach, which targets the septal spur alone, can minimize perioperative morbidity. The purpose of this paper is to demonstrate the effectiveness of endoscopic septal spur resection (ESSR) for the management of significant septal spurs in 8 patients who underwent concurrent ESSR during ESS for chronic sinusitis. Surgical technique and postoperative results are discussed and suggest that ESSR is a valuable alternative to more traditional techniques.

Comparison of laparoscopic and open pediatric inguinal hernia repairs at two institutions

2018 ◽  
Vol 34 (12) ◽  
pp. 1293-1298 ◽  
Author(s):  
Kelly F. Darmawan ◽  
Tiffany Sinclair ◽  
James C. Y. Dunn
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Inguinal Hernia
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