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[Laparoscopy can be used when treating atypical femoral hernias in children]
Søren Michelsen Bach1, Hans Friis-Andersen
1soerbach@rm.dk.
Insights
Direct and femoral hernias in children pose diagnostic challenges. Laparoscopic inguinal herniotomy is recommended after negative open exploration to accurately diagnose and treat these pediatric hernias.
Area of Science:
- Pediatric Surgery
- Surgical Diagnostics
- Minimally Invasive Surgery
Background:
- Direct and femoral hernias in children present diagnostic difficulties.
- These hernias are often misdiagnosed as recurrent indirect inguinal hernias following open exploration.
- Previous negative open explorations can lead to delayed or incorrect treatment.
Abstract:
Direct and femoral hernias in children are a diagnostic challenge. They are often presumed to be recurrent hernias after open exploration for indirect inguinal hernia. We present three children, who underwent laparoscopic inguinal herniotomy. Two patients had a direct hernia, and one patient had a femoral hernia. All three had previously undergone negative open exploration. We argue that negative open exploration should be followed by diagnostic laparoscopy and herniotomy in the same procedure and that inguinal herniotomy in children should be performed in departments with expertise in laparoscopy.
