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[Transumbilical laparoscopic operation for the incarcerated oblique inguinal hernia in the infants]
Xin Zhou1, Hong-qiang Bian, Jun Wang
1Department of General Surgery, Wuhan Children's Hospital, Wuhan 430016, China. zhou-xin2004@tom.com
Insights
Transumbilical double-hole laparoscopic operation (LTO) offers a safe and minimally invasive approach for infant incarcerated inguinal hernias. This technique demonstrates shorter operation times and hospital stays compared to traditional methods.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Laparoscopy
Context:
- Incarcerated inguinal hernias are common in infants.
- Traditional open surgery carries risks and longer recovery times.
- Evaluating novel laparoscopic techniques is crucial for improving pediatric surgical outcomes.
Purpose:
- To assess the clinical efficacy and safety of the transumbilical double-hole laparoscopic operation (LTO) for treating incarcerated inguinal hernias in infants.
- To compare LTO with traditional open surgery (TO) in terms of operative time, hospital stay, and postoperative complications.
Summary:
- Forty-eight infants with incarcerated inguinal hernias underwent LTO, while 50 controls had TO.
- LTO showed significantly shorter operation times (30 vs. 43 minutes) and hospital stays (7.8 vs. 23.3 hours) compared to TO.
- No complications, recurrences, or testicular atrophy were observed in the LTO group during follow-up.
Impact:
- Transumbilical double-hole laparoscopic operation is a safe, effective, and minimally invasive treatment option for infant incarcerated inguinal hernias.
- LTO offers advantages over traditional surgery, including reduced patient recovery time and potential for improved cosmetic outcomes.
- This technique represents a valuable advancement in pediatric surgical management of inguinal hernias.
Objective:
To evaluate the clinical application of transumbilical double-hole laparoscopic operation for incarcerated inguinal hernia in the infants.
Methods:
Forty-eight cases with incarcerated inguinal hernia (male 39, female 9) aging from 4 months to 3 years (mean 1.2 +/- 0.8 years) received the laparoscopic transumbilical double-hole operation (LTO group) during April.2003 to April.2004. Thirty cases were left side incarcerated inguinal hernia, 12 cases were right side and 6 cases were bilateral. Fifty infants of incarcerated inguinal hernias treated with traditional operation served as controls (TO group). The mean operation time, length of stay, return of bowel function and postoperative complication were compared between the two groups.
Results:
All cases of both groups recovered without any complication. The operation time, average hospitalization and return of bowel function in LTO were (30 +/- 5) min, (7.8 +/- 0.3) h and (4.4 +/- 0.3) d, respectively, and in TO were (43 +/- 6) min, (23.3 +/- 2.4) h and (6.7 +/- 0.4) d, respectively. There was a significant difference in the two groups (P < 0.05). The patients in both groups were followed up for 3 months to one year. LTO group had no recurrence or atrophy of testis and TO group had one relapse of hernia.
Conclusions:
Transumbilical double-hole laparoscopic operation is safe and microinvasive. It is a useful microinvasive procedure in the treatment of incarcerated inguinal hernia for infant.
