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Published on: February 10, 2023
Two-trocar needlescopic approach to incarcerated inguinal hernia in children
Rafik Shalaby1, Abdul Moniem Shams, Soliman Mohamed
1Pediatric Surgical Unit, Faculty of Medicine, Al-Azhar University, Nasr City, 11884, Cairo, Egypt. rafikshalaby@hotmail.com
Journal of Pediatric Surgery
|July 10, 2007
Summary
Needlescopy is a safe and effective minimally invasive surgical technique for treating incarcerated inguinal hernias in children. This approach allows for direct visualization and repair, reducing operative time and hospital stays.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopy is established for pediatric inguinal hernia repair.
- Needlescopic surgery offers cosmetic and less invasive benefits.
- Limited data exists on needlescopy for incarcerated inguinal hernias.
Purpose of the Study:
- To evaluate the feasibility and outcomes of needlescopy for incarcerated inguinal hernias in children.
Main Methods:
- 250 children (6 months–6 years) with incarcerated inguinal hernias were analyzed.
- Manual reduction was successful in 170 cases; 100 had same-day surgery, 70 had needlescopy later.
- 80 cases with unsuccessful manual reduction underwent urgent needlescopic reduction and herniorrhaphy.
Main Results:
- Needlescopic approach was feasible in all cases; no conversion to open surgery was needed.
- Immediate needlescopic herniorrhaphy was performed without significant increase in operative time (mean 10 minutes).
- No intraoperative complications were reported.
Conclusions:
- Needlescopy is a feasible, safe, easy, and preferable option for pediatric incarcerated inguinal hernias compared to open surgery.
- It enables direct visualization and reduction of incarcerated contents.
- Allows simultaneous definitive repair, reducing operative time and hospital stay.