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Published on: December 23, 2022
[Laparoscopic inguinal hernia repair in infants]
Dan Arbell1, Boris Orkin, Raphael Udassin
1Department of Pediatric Surgery, Hadassah-Hebrew University Hospital, Jerusalem, Israel. arbell@hadassah.org.il
Harefuah
|November 10, 2007
Summary
Transabdominal laparoscopic hernia repair is a feasible approach for infants younger than six months. This method showed a high incidence of occult bilateral hernias, suggesting its suitability for this age group.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Laparoscopic procedures
Context:
- Contralateral pediatric inguinal hernia treatment remains controversial.
- Occult bilateral hernias are more common in infants under 6 months.
- Laparoscopic manipulation of hernia sacs can be challenging in young infants.
Purpose:
- To evaluate the feasibility and early outcomes of transabdominal laparoscopic hernia repair in infants under 6 months.
- To assess the incidence of occult bilateral hernias in this age group using a transabdominal laparoscopic approach.
Summary:
- Thirty-four infants under 6 months with unilateral inguinal hernia underwent transabdominal laparoscopic repair.
- The procedure was successfully completed laparoscopically in 33 cases.
- An incidence of 38.2% for occult bilateral hernias was observed.
- Recurrence rates and complications were documented, with 3 recurrences (6.4%) and minor operative/anesthetic issues.
Impact:
- Transabdominal laparoscopic repair is a viable option for pediatric inguinal hernias in infants under 6 months.
- This technique may be particularly advantageous for managing potential bilateral hernias in this population.
- Further research is necessary to determine the long-term efficacy and safety of this approach.