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Laparoscopic suture-less herniotomy using tissue-sealing device for paediatric hydrocele
Shashikant Verma1, Vikesh Agrawal1, Himanshu Acharya1
1Department of Surgery, Division of Pediatric Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India.
Journal of Minimal Access Surgery
|January 9, 2019
Summary
This study introduces a sutureless laparoscopic herniotomy for pediatric hydrocele, utilizing a tissue-sealing device. This innovative technique offers a safe and effective alternative, reducing complications associated with traditional suturing methods.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Procedures
- Urology
Background:
- Laparoscopic herniotomy (LH) for hydrocele is established, offering contralateral diagnosis and repair.
- Suturing the patent processus vaginalis during LH can lead to complications.
- A novel sutureless approach using a tissue-sealing device is explored.
Purpose of the Study:
- To evaluate the safety and efficacy of sutureless laparoscopic herniotomy for pediatric hydrocele.
- To assess the feasibility of using a tissue-sealing device in this procedure.
- To compare outcomes with traditional suturing techniques.
Main Methods:
- Prospective study of 21 children (over 1 year old) with hydrocele over 2 years.
- Exclusion of infants and complicated hydroceles.
- Procedure involved peritoneal incision and sealing of the hydrocele sac with a tissue-sealing device.
Main Results:
- 21 patients (28 hydroceles) underwent the procedure, aged 1-14 years (mean 4).
- Mean operative time was 18 minutes (range 15-32 min).
- No recurrences observed; one transient persistent hydrocele resolved spontaneously. All patients discharged after 12 hours.
Conclusions:
- Sutureless laparoscopic herniotomy for pediatric hydrocele is safe, secure, and simple.
- This technique potentially reduces suture-related complications.
- It represents an effective alternative to traditional suturing in LH for hydrocele.
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