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[Laparoscopic herniorrhaphy in children]
Insights
Single-port laparoscopic extraperitoneal herniorrhaphy offers a minimally invasive, faster surgical option for pediatric inguinal hernias, reducing operative time and the need for postoperative anesthesia.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Context:
- Inguinal hernias are common in children, affecting 170 patients in this study.
- Unilateral hernias occurred in 148 children, while bilateral hernias were present in 22.
- Surgical intervention is the standard treatment for pediatric inguinal hernias.
Purpose:
- To evaluate the outcomes of various endosurgical techniques for treating inguinal hernias in children.
- To compare the efficacy and safety of different laparoscopic approaches, including a novel single-port method.
Summary:
- 170 children (4 months to 14 years) underwent endosurgical inguinal hernia repair.
- Techniques included laparoscopic herniotomy, deep inguinal ring suturing, dual-port, and single-port extraperitoneal herniorrhaphy.
- The single-port technique demonstrated the shortest operative time (4.5-7.5 minutes) and eliminated the need for postoperative anesthesia, with a low recurrence rate of 1.1%.
Impact:
- Single-port laparoscopic extraperitoneal herniorrhaphy presents a promising alternative for pediatric inguinal hernia treatment.
- This technique offers advantages in reduced operative time and improved patient recovery.
- Further research can validate its long-term efficacy and widespread adoption in pediatric surgical practice.
Abstract:
It was described the results of endosurgical treatment different technique of 170 children of both sexes aged 4 months to 14 years. Children had inguinal hernia. There were unilateral hernia in 148 patients and bilateral hernia in 22 patients. It was used such interventions as laparoscopic herniotomy with hernial sac extirpation (6 operations), laparoscopic suturing of deep inguinal ring (22 operations), dual-port laparoscopic extraperitoneal herniorrhaphy (46 operations), original single-port laparoscopic extraperitoneal herniorrhaphy (118 operations). The minimum duration of the operation (4.5-7.5 minutes) was observed in the last group. These patients did not need postoperative anesthesia. Relapse was detected in 2 (1.1%) cases. Developed single-port laparoscopic extraperitoneal herniorrhaphy may be alternative in children with inguinal hernia.
