Features and Techniques of Laparoscopic Percutaneous Extraperitoneal Closure for Ovarian Hernia.

Autor:	Saeki I; Department of Pediatric Surgery, Hiroshima City Hospital , Hiroshima, Japan ., Mukai W; Department of Pediatric Surgery, Hiroshima City Hospital , Hiroshima, Japan ., Imaji R; Department of Pediatric Surgery, Hiroshima City Hospital , Hiroshima, Japan ., Akiyama T; Department of Pediatric Surgery, Hiroshima City Hospital , Hiroshima, Japan .
Jazyk:	angličtina
Zdroj:	Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2019 Feb; Vol. 29 (2), pp. 278-281. Date of Electronic Publication: 2018 Sep 25.
DOI:	10.1089/lap.2018.0425
Abstrakt:	Purpose: The purpose of this report was to evaluate the safety and efficacy of the simple laparoscopic percutaneous extraperitoneal closure (LPEC) method for treating ovarian hernia patients, including newborns and low-birth-weight infants. Methods: We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017. Results: Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). The mean corrected age was 2.3 ± 2.8 months and the mean body weight was 4.4 ± 1.6 kg. The contralateral positive rate was 53%, and 34% of the cases showed sliding of the fallopian tube. Umbilical hernias were observed in 24 cases (71%). The mean operative time was 53 ± 20 minutes. The LPEC procedure was successful in 32 cases; two cases were converted to open surgery. Conclusion: Small infants with ovarian hernia have some specific features such as a shortened round ligament and the presence of peritoneum cavities that require skillful techniques when being surgically repaired. The simple LPEC procedure can be performed safely with a low risk of recurrence, even in infants with sliding of the fallopian tube.
Databáze:	MEDLINE
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