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Related Experiment Videos

Laparoscopic inguinal herniotomy in bladder exstrophy: a new solution to an old problem?

Pedro-Jose Lopez1, Imran Mushtaq, Joe I Curry

  • 1Department of Paediatric Urology, Great Ormond Street Hospital, London, UK.

Journal of Pediatric Urology
|October 25, 2008
PubMed
Summary

Laparoscopic inguinal herniotomy offers a safe and effective solution for infants with bladder exstrophy. This minimally invasive approach avoids high recurrence rates associated with open surgery in this patient group.

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Open inguinal herniotomy in children with bladder exstrophy has a high recurrence rate (15%).
  • Laparoscopic techniques are increasingly established for infant inguinal hernia repair.

Purpose of the Study:

  • To evaluate the initial experience of laparoscopic inguinal hernia repair in children with a history of bladder exstrophy.

Main Methods:

  • Three boys with repaired bladder exstrophy underwent laparoscopic repair for inguinal hernias.
  • The procedure involved pneumoperitoneum and purse-string sutures to close internal rings.
  • Skin incisions were closed with absorbable sutures and surgical glue.

Main Results:

  • All three patients recovered uneventfully and were discharged within 24 hours.

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  • No complications were observed during the follow-up period.
  • A mean follow-up of 16 months showed no signs of hernia recurrence.

    • Conclusions:

    • Laparoscopic inguinal herniotomy is a technically straightforward and effective treatment for inguinal hernias in children with bladder exstrophy.
    • This minimally invasive approach demonstrates promising outcomes with no recurrence in the studied cohort.