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Laparoscopic Percutaneous Extraperitoneal Closure of the Internal Ring in Pediatric Recurrent Inguinal Hernia

Haitao Zhu1,2, Jun Li1, Xueni Peng1

  • 1Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai, China.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|August 9, 2019
PubMed

Insights

Laparoscopic percutaneous extraperitoneal closure (LPEC) is effective for pediatric recurrent inguinal hernias. This minimally invasive approach showed no recurrence in a 2-year follow-up, making it a reliable option.

Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Hernia Repair

Background:

  • Laparoscopic repair is the standard for pediatric hernias.
  • Laparoscopic percutaneous extraperitoneal closure (LPEC) is a minimally invasive option.
  • Efficacy of LPEC for recurrent pediatric inguinal hernias is not well-established.

Purpose of the Study:

  • To evaluate the efficacy of LPEC for pediatric recurrent inguinal hernias.
  • To assess the safety and recurrence rates of LPEC in this patient group.

Main Methods:

  • Retrospective review of pediatric patients undergoing recurrent inguinal hernia repair from 2016-2017.
  • Analysis of outcomes for patients treated with LPEC.
  • Follow-up duration ranged from 8 months to 2 years.

Main Results:

  • LPEC was successfully performed in all recurrent cases.
  • No severe intra- or postoperative complications were observed.
  • No recurrence of inguinal hernia was noted during the follow-up period.

Conclusions:

  • LPEC is a reliable and effective minimally invasive technique for treating recurrent inguinal hernias in children.
  • The procedure demonstrates excellent safety and efficacy with no recurrence.
  • LPEC offers a promising solution for pediatric recurrent inguinal hernia repair.

Keywords:
childrenlaparoscopic percutaneous extraperitoneal closurerecurrent inguinal hernia

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