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Single-Site Laparoscopic Percutaneous Extraperitoneal Closure of the Internal Ring Using an Epidural Needle for

Jian-Qin Zhang1, Qi-Liang Zhang1, Liu Chen1

  • 1Department of Pediatric Surgery, Fujian Provincial Maternity and Children's Hospital, Fuzhou, Fujian, China (mainland).

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
|June 17, 2019
PubMed

Insights

Single-site laparoscopic closure using an epidural needle is a safe and effective treatment for pediatric inguinal hernias. This minimally invasive technique offers excellent cosmetic results with low recurrence rates.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Hernia Repair

Background:

  • Inguinal hernias are common in children.
  • Traditional surgical methods can be invasive.
  • A novel technique using single-site laparoscopic percutaneous extraperitoneal closure of the internal ring with an epidural needle was developed.

Purpose of the Study:

  • To evaluate the safety and effectiveness of single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle in children with inguinal hernia.
  • To assess perioperative outcomes and long-term recurrence rates.

Main Methods:

  • Retrospective analysis of clinical data from 542 pediatric patients.
  • Procedures performed between June 2014 and June 2017.
  • Follow-up period of 12-24 months.

Main Results:

  • All 542 patients successfully underwent the procedure without conversion to conventional surgery.
  • No perioperative complications such as vascular injury, iatrogenic cryptorchidism, or testicular atrophy were reported.
  • A low recurrence rate of 3 cases was observed during the follow-up period.

Conclusions:

  • Single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle is a safe and effective treatment for pediatric inguinal hernias.
  • The procedure offers benefits of minimal trauma, no scarring, and good cosmetic outcomes.
  • This technique presents a viable alternative to traditional surgical approaches for pediatric inguinal hernia repair.

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