A comparative study of the single-site laparoscopic herniorrhaphy using needle instruments and double‑site laparoscopic herniorrhaphy in the minimally invasive treatment of inguinal hernias in children

Wang,Fan; Liu,Sujun; Shen,Yingmo; Chen,Jie

doi:10.3892/etm.2018.5756

March-2018 Volume 15 Issue 3

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

March-2018 Volume 15 Issue 3

Full Size Image

Article Open Access

A comparative study of the single-site laparoscopic herniorrhaphy using needle instruments and double‑site laparoscopic herniorrhaphy in the minimally invasive treatment of inguinal hernias in children

Authors:
- Fan Wang
- Sujun Liu
- Yingmo Shen
- Jie Chen
View Affiliations / Copyright

Affiliations: Hernia and Abdominal Wall Surgery, Beijing Chao-Yang Hospital of Capital Medical University, Beijing 100043, P.R. China

Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 2896-2900
|
Published online on: January 16, 2018

https://doi.org/10.3892/etm.2018.5756
Expand metrics +

Abstract

The clinical effect of the single-site laparoscopic herniorrhaphy (SSLH) using needle instruments and double-site laparoscopic herniorrhaphy (DSLH) in the treatment of inguinal hernias in children were compared. A total of 1,010 children with inguinal hernias who were treated in Chao-Yang Hospital from March 2011 to December 2014 were selected. According to the operation method, these children were divided into the single-site group using needle instruments (n=508) and the traditional double-site group (n=502). The clinical indexes of the two groups were compared. All the clinical indexes (operation time, intraoperative blood loss, time of off-bed and discharge time) in the single-site group using needle instruments were significantly lower than those in the traditional double-site group (P<0.001, <0.001, <0.001 and <0.003, respectively), but the incidence rates of postoperative complications and contralateral occult hernia were at the similar level (P=0.249 and 0.221, respectively), so the difference was statistically insignificant. Patients in the two groups were followed up for 2 years and there was no recurrece in children in the single-site group while there was 2 in the double-site group. The SSLH using needle instruments is more effective with fewer traumas in the treatment of inguinal hernias in children than the DSLH. It is easier for children to recover from the herniorrhaphy with no scars, so it conforms more closely to the concept of minimally invasive herniorrhaphy, which can be promoted and applied for the treatment of inguinal hernias in children.

View Figures

View References

1	Potts WJ, Riker WL and Lewis JE: The treatment of inguinal hernia in infants and children. Ann Surg. 132:566–576. 1950. View Article : Google Scholar : PubMed/NCBI
2	Dallas T: Treatment of congenital infuinal hernia. Ann Surg. 135:879–884. 1952. View Article : Google Scholar : PubMed/NCBI
3	Yang C, Zhang H, Pu J, Mei H, Zheng L and Tong Q: Laparoscopic vs open herniorrhaphy in the management of pediatric inguinal hernias: A systemic review and meta-analysis. J Pediatr Surg. 46:1824–1834. 2011. View Article : Google Scholar : PubMed/NCBI
4	Montupet P and Esposito C: Laparoscopic treatment of congenital inguinal hernias in children. J Pediatr Surg. 34:420–423. 1999. View Article : Google Scholar : PubMed/NCBI
5	Zallen G and Glick PL: Laparoscopic inversion and ligation inguinal hernia repair in girls. J Laparoendosc Adv Surg Tech A. 17:143–145. 2007. View Article : Google Scholar : PubMed/NCBI
6	Tatekawa Y: Laparoscopic extracorporeal ligation of hernia defects using an epidural needle and preperitoneal hydrodissection. J Endourol. 26:474–477. 2012. View Article : Google Scholar : PubMed/NCBI
7	Gilbert AI: An anatomic and functional classification for the diagnosis and treatment of inguinal hernias. Am J Surg. 157:331–333. 1989. View Article : Google Scholar : PubMed/NCBI
8	Liu SJ, Wang F, Zhu YL, Yang S, Shen YM, Wang MG and Chen J: Analysis of minimally invasive SSLH using needel instruments in the treatment of children with inguinal hernias. Chin Dep Herniorrhaph Abdom Wall Hernias. 8:17–20. 2014.
9	Kimura T, Yamauchi K, Ihara Y, Sawai T, Kosumi T and Yonekura T: Single-site laparoscopic herniorrhaphy using needle instruments for inguinal hernias in children: A novel technique. Surg Today. 42:100–103. 2012. View Article : Google Scholar : PubMed/NCBI
10	Zhou X, Song D, Miao Q and Shan W: Transumbilical endoscopic herniorrhaphy for completely enclosing inguinal hernias in children. J Pediatr Surg. 46:2417–2420. 2011. View Article : Google Scholar : PubMed/NCBI
11	Shen W, Ji H, Lu G, Chen Z, Li L, Zhang H and Pan J: A modified single-port technique for the minimally invasive treatment of pediatric inguinal hernias with high ligation of the vaginal process: The initial experience. Eur J Pediatr. 169:1207–1212. 2010. View Article : Google Scholar : PubMed/NCBI

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

A comparative study of the single-site laparoscopic herniorrhaphy using needle instruments and double‑site laparoscopic herniorrhaphy in the minimally invasive treatment of inguinal hernias in children

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Figure 4

Related Articles