Laparoscopic surgery in the treatment of incarcerated indirect inguinal hernia in children
- Authors:
- Yiyu Yin
- Hongwei Zhang
- Xiang Zhang
- Fang Sun
- Huaxin Zou
- Hui Cao
- Cheng Wen
View Affiliations
Affiliations: Department of Pediatric Surgery, Xuzhou Children's Hospital, Xuzhou, Jiangsu 221002, P.R. China
- Published online on: October 21, 2016 https://doi.org/10.3892/etm.2016.3830
-
Pages:
3553-3556
-
Copyright: © Yin
et al. This is an open access article distributed under the
terms of Creative
Commons Attribution License.
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
We aimed to explore the feasibility and the safety of the laparoscopic surgery for incarcerated indirect inguinal hernia (IIH) in children. From January 2012 to December 2014, 64 children were enrolled into this study. All 64 patients received laparoscopic surgery and we reviewed their perioperative and postoperative follow-up studies. In addition, we enrolled 60 cases of children who received traditional surgery of IIH administered through minimally invasive surgery as the control group. Results from the present study showed that the mean operation time for the laparoscopic group was 41.5 min (range, 15-80 min) which was significantly shorter than the control group. Nine cases developed incarcerated intestine necrosis, expanded umbilical incision and parallel resection anastomosis. They received laparoscopic hernia sac high ligation. Only 5 cases developed scrotum edema after the surgery. The postoperative length of the stay ranged from 2 to 7 days (average, 3.2). The postoperative follow‑up was from 6 months to 1 year and no relapse or secondary testicular atrophy was observed in the laparoscopic group. The operation time, incidence of postoperative complications and length of stay in the laparoscopic group were decreased compared to the control group, and differences were statistically significant (P<0.05). In conclusion, laparoscopic surgery treatment for incarcerated inguinal hernia is safe and feasible and produced better results compared with the alternative.
View References
|
1
|
Wiener ES, Touloukian RJ, Rodgers BM,
Grosfeld JL, Smith EI, Ziegler MM and Coran AG: Hernia survey of
the Section on Surgery of the American Academy of Pediatrics. J
Pediatr Surg. 31:1166–1169. 1996. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Kapur P, Caty MG and Glick PL: Paediatric
hernias and hydroceles. Pediatr Clin North Am. 45:773–789. 1998.
View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Mackinnon AE: Hernia and
hydrocelePediatric Surgery. 32. Atwell JD: Arnold; London: pp.
309–312. 1998
|
|
4
|
Saggar VR and Sarangi R: Endoscopic
totally extraperitoneal repair of incarcerated inguinal hernia.
Hernia. 9:120–124. 2005. View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Hoffman A, Leshem E, Zmora O, Nachtomi O,
Shabtai M, Ayalon A and Rosin D: The combined laparoscopic approach
for the treatment of incarcerated inguinal hernia. Surg Endosc.
24:1815–1818. 2010. View Article : Google Scholar : PubMed/NCBI
|
|
6
|
Ferzli G, Shapiro K, Chaudry G and Patel
S: Laparoscopic extraperitoneal approach to acutely incarcerated
inguinal hernia. Surg Endosc. 18:228–231. 2004. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Endo M, Watanabe T, Nakano M, Yoshida F
and Ukiyama E: Laparoscopic completely extraperitoneal repair of
inguinal hernia in children: a single-institute experience with
1,257 repairs compared with cut-down herniorrhaphy. Surg Endosc.
23:1706–1712. 2009. View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Tatli D and Numanoglu KV: Transverse
testicular ectopia associated with incarcerated inguinal hernia: a
case report. Cases J. 1:2002008. View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Kaya M, Hückstedt T and Schier F:
Laparoscopic approach to incarcerated inguinal hernia in children.
J Pediatr Surg. 41:567–569. 2006. View Article : Google Scholar : PubMed/NCBI
|
|
10
|
Nah SA, Giacomello L, Eaton S, de Coppi P,
Curry JI, Drake DP, Kiely EM and Pierro A: Surgical repair of
incarcerated inguinal hernia in children: laparoscopic or open? Eur
J Pediatr Surg. 21:8–11. 2011. View Article : Google Scholar : PubMed/NCBI
|
|
11
|
Bin S, Hui W and Yang P: Laparoscopic high
ligation of hernial sac for the treatment of 18 cases with inguinal
incarcerated hernia in Chinese. J Minim Invasive Surg. 13:84–86.
2013.
|
