scholarly journals Laparoscopic Approach to Incarcerated/Sliding Indirect Inguinal Hernia in Children in Comparison with Open Approach

10.5772/58285 ◽  
2014 ◽  
Author(s):  
Masao Endo ◽  
Michinobu Ohno ◽  
Fumiko Yoshida ◽  
Miwako Nakano ◽  
Toshihiko Watanabe ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Approach ◽  
Indirect Inguinal Hernia ◽  
Open Approach ◽  
Inguinal Hernia In Children

A Clinical Study and Management of Inguino-scrotal Swellings In Children

2018 ◽  
Vol 2 (S1) ◽  
pp. e000125
Author(s):  
Khyati Vaja ◽  
Mukesh Suvera
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Surgery ◽  
Pediatric Patients ◽  
Undescended Testis ◽  
Length Of Hospital Stay ◽  
Indirect Inguinal Hernia ◽  
Short Term ◽  
One Year ◽  
Groin Hernias ◽  
Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

Laparoscopic approach for inguinal hernia in children: resection without suture

2012 ◽  
Vol 47 (11) ◽  
pp. 2093-2095 ◽  
Author(s):  
Carlos García-Hernández ◽  
Lourdes Carvajal-Figueroa ◽  
Roberto Suarez-Gutiérrez ◽  
Sergio Landa-Juárez
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Approach ◽  
Inguinal Hernia In Children

Laparoscopic removal of mesh migrating into the sigmoid colon after totally extraperitoneal (TEP) laparoscopic inguinal hernia repair with positive faecal occult blood test

2021 ◽  
Vol 14 (2) ◽  
pp. e237167
Author(s):  
Sujin Gang ◽  
Min Jung Kim ◽  
Ji Won Park ◽  
Seung-Bum Ryoo
Keyword(s):  
Inguinal Hernia ◽  
Sigmoid Colon ◽  
Blood Test ◽  
Laparoscopic Approach ◽  
Occult Blood ◽  
Faecal Occult Blood Test ◽  
Open Approach ◽  
Occult Blood Test ◽  
Totally Extraperitoneal ◽  
Abdominal Approach

A 76-year-old man was referred to our clinic after a foreign body seen in his sigmoid colon during a colonoscopy. He had undergone three operations for a left inguinal hernia within the previous 8 years, and the first procedure was a laparoscopic totally extraperitoneal approach. Four years later, removal of migrated and infected mesh was conducted by open approach. He then had a positive stool occult blood test for routine check-up 4 years after the remnant mesh removal. An ill-defined lesion was identified on colonoscopy. CT revealed a 2.7 cm diameter enhancing lesion in the sigmoid colon. Laparoscopic sigmoidectomy was performed, and remnant mesh fragment was found in the sigmoid colon and removed. The migrated mesh could not be wholly removed by open abdominal approach and the remnant mesh fragment migrated to sigmoid colon. It suggests the importance of a laparoscopic approach to remove the entire mesh.

Modified Marcy repair for indirect inguinal hernia in children: a 24-year single-center experience of 6826 pediatric patients

Surgery Today ◽  
2016 ◽  
Vol 47 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Zenon Pogorelić ◽  
Marijana Rikalo ◽  
Miro Jukić ◽  
Josip Katić ◽  
Ivo Jurić ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Pediatric Patients ◽  
Indirect Inguinal Hernia ◽  
Single Center ◽  
Single Center Experience ◽  
Marcy Repair ◽  
Inguinal Hernia In Children

scholarly journals Manual Reduction of Incarcerated Inguinal Hernia in Children

2013 ◽  
Vol 32 (3) ◽  
pp. 229-232
Author(s):  
Bijay Thapa ◽  
Madhusudan Pun
Keyword(s):  
Inguinal Hernia ◽  
Indirect Inguinal Hernia ◽  
Female Ratio ◽  
Incarcerated Inguinal Hernia ◽  
Manual Reduction ◽  
Undergo Emergency Surgery ◽  
Hands On ◽  
Resection And Anastomosis ◽  
Male To Female ◽  
Inguinal Hernia In Children

Introduction: Incarceration of an indirect inguinal hernia in children is an acute emergency and one of the common complications that may occur before herniotomy. Inguinal hernias rarely go away, and therefore, virtually all should be repaired at any age of presentation. Incarcerated inguinal hernia can be reduced successfully by manual reduction if performed by experienced hands on time. The objective of this study was to assess the safety and efficacy of manual reduction of incarcerated indirect inguinal hernia. Materials and Methods: Thirty six patients who attended Emergency Department of Kanti Children’s Hospital over 30 months period from January 2009 to July 2011 were studied prospectively. All patients were diagnosed case of inguinal hernia and waiting for elective herniotomy. Results: There were 30(83.33%) males and 6(16.66%) females, with male-to-female ratio of 5:1. Right sided inguinal hernia was 20(55.5%) and left 16(44.44%). The ages ranged from 1.5 months to 28 months with mean age of 15 months. Time of incarceration ranged from 3 hours to 30 hours. Manual reduction was successful in 30(83.33%). Remaining six had to undergo emergency surgery. Four patients with edematous but viable hernial contents had successful surgical reduction. Two patients with gangrenous small bowel loops had bowel resection and anastomosis. Conclusion: Manual reduction is safe and effective when performed timely. Herniotomy should be done without delay once diagnosed to avoid unnecessary complications. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6146 J. Nepal Paediatr. SocVol.32(3) 2012 229-232

Reasons for Recurrence After the Laparoscopic Repair of Indirect Inguinal Hernia in Children

2015 ◽  
Vol 25 (8) ◽  
pp. 681-683 ◽  
Author(s):  
Bo Xiang ◽  
Shuguang Jin ◽  
Lin Zhong ◽  
Fuyu Li ◽  
Xiaoping Jiang ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Repair ◽  
Indirect Inguinal Hernia ◽  
Inguinal Hernia In Children

scholarly journals P163 ROLE OF THE LAPAROSCOPIC APPROACH IN EMERGENT INGUINAL HERNIA REPAIR

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joan Ricard Soler Frias ◽  
Anabel García León ◽  
Luis Tallon-Aguilar ◽  
Jose Tinoco González ◽  
Alejandro Sánchez Arteaga ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Elective Surgery ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Laparoscopic Group ◽  
Reoperation Rate ◽  
Open Group ◽  
Open Approach

Abstract Aim Analyze the evolution of the laparoscopic approach in emergent inguinal hernia repair at our center. Material and Methods Retrospective review of patients with emergent inguinal hernia repair in our center from January 2011 to June 2020. Demographic, clinical and postoperative data were analyzed as well as the evolution of the laparoscopic approach. Results 385 patients with incarcerated/strangulated inguinal hernia were registered. 58.96% were men, with a median age of 71. Of those, 22 patients (5.71%) were treated by laparoscopic approach and 363 (94.29%) by open approach. The open approach had a longer median hospitalization (4.82 vs 1.66 days), higher rate of surgical wound infection (5.51% vs. 0%), higher reoperation rate (3.31% vs 0%) and higher incidence of respiratory complications (1.97% vs 0%). 1 patient (4.54%) with laparoscopic approach required intestinal resection vs 48 patients (13.22%) of the open group, with a dehiscence rate of 0% vs 4.76% respectively. Mortality rate was 0% for the laparoscopic group and 2.75% in the open group. In the last 18 months, 28.98% of urgent hernias repaired have been performed laparoscopically, while previously from 2011 to 2017 only 0.95%, due to the learning curve obtained in elective surgery where the laparoscopic approach has had a major development in the last 3 years. Conclusions Despite the evident patient selection bias because the approach choice by the surgeon in emergent inguinal hernia repair, laparoscopic approach is feasible and has lower morbidity-mortality compared to open approach in our center. In specialized centers this may be a treatment option for selected patient groups.

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