Transumbilical endoscopic technique for complete closure of inguinal hernias in female pediatric patients

Zhou,Xuewu; Qi,Xi; Jiang,Bing; Sha,Yongliang; Song,Daiqiang

doi:10.3892/etm.2016.3919

January-2017 Volume 13 Issue 1

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January-2017 Volume 13 Issue 1

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Article Open Access

Transumbilical endoscopic technique for complete closure of inguinal hernias in female pediatric patients

Authors:
- Xuewu Zhou
- Xi Qi
- Bing Jiang
- Yongliang Sha
- Daiqiang Song
View Affiliations / Copyright

Affiliations: Department of Pediatric Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu 221009, P.R. China, Department of Pediatric Surgery, Taizhou Hospital, Taizhou, Zhejiang 317000, P.R. China

Copyright: © Zhou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 41-44
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Published online on: November 18, 2016

https://doi.org/10.3892/etm.2016.3919
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Abstract

Laparoscopic percutaneous extraperitoneal closure of inguinal hernia with variable devices as an effective technique in minimal-access surgery for pediatric inguinal hernias in children was investigated in the present study. A Veress needle was inserted into the abdomen. Trocars, laparoscope and needle holder were placed through the umbilical incision. Under laparoscopic monitoring, a round needle was introduced into the peritoneal cavity through the anterior abdominal wall. The end of the suture inside the peritoneal cavity was left outside the peritoneal cavity in favor of ligation. The needle was passed through the peritoneum to place an extraperitoneal purse-string suture around the internal inguinal ring, counterclockwise on the left and clockwise on the right. The needle was then passed back into the peritoneal cavity and out through the abdominal wall, and the needle ends of the stitch were cut. The ends of the suture were tied. We described a technique used for transumbilical endoscopic closure of pediatric inguinal hernias in girls. This technique is simple and can be performed quickly. The cosmetic result is excellent because the two umbilical incisions are only 5-mm long, which make it possible to perform surgery without a visible scar. We performed this procedure in over 96 patients and have had no recurrences. Thus, this method may become the laparoscopic repair of choice for females with inguinal hernias.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Transumbilical endoscopic technique for complete closure of inguinal hernias in female pediatric patients

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