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Microlaparoscopic hernia repair in children: initial experiences.

Salmai Turial1, Ahmad Saied, Felix Schier

  • 1Department of Pediatric Surgery, University Medical Center, Johannes Gutenberg University Mainz, Germany. salmai.turial@unimedizin-mainz.de

Surgical Innovation
|May 7, 2011
PubMed
Summary

Microlaparoscopic hernia repair using 2-mm instruments in 100 children proved safe and feasible. This minimally invasive approach for pediatric inguinal hernias demonstrated efficient operative times with minimal recurrence.

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Laparoscopy

Background:

  • Microlaparoscopic surgery utilizes small-diameter instruments and scopes.
  • This study evaluates the exclusive use of 2-mm instruments and scopes in pediatric microlaparoscopic herniorrhaphy.

Purpose of the Study:

  • To assess the feasibility and safety of microlaparoscopic herniorrhaphy in children.
  • To report the initial experience with 2-mm instruments and small scopes for this procedure.

Main Methods:

  • Prospective pilot feasibility study.
  • Inclusion of 100 children undergoing microlaparoscopic hernia repair.
  • Exclusive use of 1.7 to 2 mm scopes and 2-mm instruments.

Main Results:

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  • 140 hernias treated in children aged 15 days to 11 years.
  • Average operative times: 16 minutes for bilateral, 12 minutes for unilateral hernias.
  • Hernia recurrence observed in 2 patients (1.4%).

Conclusions:

  • Microlaparoscopic hernia repair in children is a safe and feasible procedure.
  • The use of 2-mm instruments and small scopes facilitates minimally invasive repair.