Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series
| Autor: | Grigore Cernaianu, R. M. Vahdad, Ralf-Bodo Tröbs, Micha Bahr, B. Yilmaz |
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| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Adolescent Forceps 030230 surgery 03 medical and health sciences Young Adult 0302 clinical medicine Suture (anatomy) medicine Humans Child Herniorrhaphy Retrospective Studies Pediatric Groin business.industry General surgery Femoral hernia Pediatric Surgeon medicine.disease Cannula Hernia Femoral Surgery Laparoscopic closure medicine.anatomical_structure surgical procedures operative 030220 oncology & carcinogenesis Child Preschool Female Laparoscopy Original Article Peritoneum business Abdominal surgery |
| Zdroj: | Hernia |
| ISSN: | 1265-4906 |
| DOI: | 10.1007/s10029-017-1573-3 |
| Popis: | Background Femoral hernias are an often unexpected groin pathology during childhood. However, the pediatric surgeon has to be aware to diagnose femoral hernia and to repair this condition. This is the first report on laparoscopic percutaneous extraperitoneal closure of femoral hernia (LPEF) in children and adolescents. Methods Over a 6-year period in a bi-institutional clinical study, we retrospectively identified six children and one young adult who underwent LPEF repair. Results Femoral hernia was laparoscopically confirmed in seven patients. Ages at surgery were 3, 5, 7, 7, 8, 8.5, and 18 years, respectively. In the first case, we combined laparoscopic diagnosis with open repair. In the consecutive six cases, hernias were repaired minimally invasively with the percutaneous extraperitoneal technique described below. During a follow-up between 6 years and 6 months, no recurrence was observed. Surgical technique For LPEF, we percutaneously placed a peritoneal U-shape suture with integrated transfixation of the hernia sac, closed with an epifascial knot. We performed LPEF using two graspers. The peritoneum was percutaneously punctured with a venous cannula through which the suture was inserted. One grasper was inserted through the working channel of the laparoscope to invert the hernia sac into the abdominal cavity. A mini-grasping forceps inserted through the cannula retrieved the thread and completed LPEF. Conclusion We demonstrate that single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia is successful and quick in children and in adolescents. |
| Databáze: | OpenAIRE |
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