J Minim Invasive Surg 2014; 17(4): 71-74
Published online December 15, 2014
https://doi.org/10.7602/jmis.2014.17.4.71
© The Korean Society of Endo-Laparoscopic & Robotic Surgery
이도영ㆍ최원용
동국대학교 일산병원 외과학교실
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Although laparoscopic surgery in children has expanded in recent years. laparoscopic hernia repair in children is still debatable. We aimed to summarize and describe our results of laparoscopic inguinal hernia repair and techniques among children. Methods: Between March 2011 and August 2013, 117 children (81 male, 36 female) underwent laparoscopic inguinal hernia repair at the department of surgery. The clinical out-comes were collected retrospectively. Results: The mean follow-up period was 26.2 months. Thirteen patients were ex-premature infants and a contralateral patent processus vaginalis (PPV) was present in 44 of the 110 unilateral inguinal hernia patients. There were two postoperative complications (transient hydrocele, umbilical port site infection). The mean operative time was 47 minutes. Recurrence, metachronous hernia, and testicular atrophy were not observed during the follow-up period. Conclusion: Our preliminary experiences suggest that the laparoscopic purse-string suture of internal inguinal opening of the hernia sac could be an effective and reliable alternative for management of pediatric inguinal hernia.
Keywords Laparoscopic surgery, Purse-string suture, Inguinal hernia, Children
J Minim Invasive Surg 2014; 17(4): 71-74
Published online December 15, 2014 https://doi.org/10.7602/jmis.2014.17.4.71
Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.
이도영ㆍ최원용
동국대학교 일산병원 외과학교실
Do Young Lee, M.D., Won Yong Choi, M.D.
Department of Surgery, Dongguk University Ilsan Hospital, Goyang, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Although laparoscopic surgery in children has expanded in recent years. laparoscopic hernia repair in children is still debatable. We aimed to summarize and describe our results of laparoscopic inguinal hernia repair and techniques among children. Methods: Between March 2011 and August 2013, 117 children (81 male, 36 female) underwent laparoscopic inguinal hernia repair at the department of surgery. The clinical out-comes were collected retrospectively. Results: The mean follow-up period was 26.2 months. Thirteen patients were ex-premature infants and a contralateral patent processus vaginalis (PPV) was present in 44 of the 110 unilateral inguinal hernia patients. There were two postoperative complications (transient hydrocele, umbilical port site infection). The mean operative time was 47 minutes. Recurrence, metachronous hernia, and testicular atrophy were not observed during the follow-up period. Conclusion: Our preliminary experiences suggest that the laparoscopic purse-string suture of internal inguinal opening of the hernia sac could be an effective and reliable alternative for management of pediatric inguinal hernia.
Keywords: Laparoscopic surgery, Purse-string suture, Inguinal hernia, Children
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