Laparoscopic inguinal hernia repair by the hook method in emergency setting in children presenting with incarcerated inguinal hernia
| Autor: | Jennifer Wai Cheung Mou, Yuk Him Tam, Jennifer Dart Yin Sihoe, Sing Tak Cheung, Kim Hung Lee, Kin Wai Chan |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Hook medicine.medical_treatment Hernia Inguinal Recurrence medicine Edema Humans Hernia Child Herniorrhaphy Retrospective Studies business.industry Dissection General surgery Infant Postoperative complication Retrospective cohort study General Medicine Length of Stay Surgical Instruments medicine.disease Hernia repair digestive system diseases Surgery stomatognathic diseases Inguinal hernia surgical procedures operative Child Preschool Pediatrics Perinatology and Child Health Female Laparoscopy Emergencies Incarcerated Inguinal Hernia business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery. 46:1970-1973 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/j.jpedsurg.2011.05.019 |
| Popis: | Background The development of laparoscopic hernia repair has provided an alternative approach to the management of incarcerated inguinal hernia in children. Different laparoscopic techniques for hernia repair have been described. However, we hereby review the role of laparoscopic hernia repair using the hook method in the emergency setting for incarcerated inguinal hernias in children. Methods A retrospective review was conducted of all children who presented with incarcerated inguinal hernia and underwent laparoscopic hernia repair using the hook method in emergency setting between 2004 and 2010. Results There were a total of 15 boys and 1 girl with a mean age of 30 ± 36 months (range, 4 months to 12 years). The hernia was successfully reduced after sedation in 7 children and after general anesthesia in 4 children. In 5 children, the hernia was reduced by a combined manual and laparoscopic-assisted approach. Emergency laparoscopic inguinal hernia repair using the hook method was performed after reduction of the hernia. The presence of preperitoneal fluid secondary to recent incarceration facilitated the dissection of the preperitoneal space by the hernia hook. All children underwent successful reduction and hernia repair. The median operative time was 37 minutes. There was no postoperative complication. The median hospital stay was 3 days. At a median follow-up of 40 months, there was no recurrence of the hernia or testicular atrophy. Conclusions Emergency laparoscopic inguinal hernia repair by the hook method is safe and feasible. Easier preperitoneal dissection was experienced, and repair of the contralateral patent processus vaginalis can be performed in the same setting. |
| Databáze: | OpenAIRE |
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