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Published on: November 12, 2021
Our Laparoscopic Surgical Technique and Experience in Treating Pediatric Inguinal Hernia Over the Past Decade
Dheidan Alshammari1, Marina Sica1, Isabelle Talon1
1Department of Pediatric Surgery, University Hospitals of Strasbourg, Strasbourg, France.
Insights
Laparoscopic hernia repair in children is safe and effective, with a very low recurrence rate of 0.17%. This minimally invasive approach offers significant benefits and is recommended for pediatric patients.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic hernia repair is a common procedure in pediatric surgery, accounting for 15% of all operations.
- Previous reports have questioned the recurrence rates and duration of laparoscopic hernia repair.
Purpose of the Study:
- To review pediatric laparoscopic hernia repair cases.
- To analyze recurrence rates, metachronous inguinal hernia incidence, and complications.
Main Methods:
- Retrospective study of 916 pediatric patients (under 18) undergoing elective laparoscopic hernia repair.
- Data collected on clinical features and post-operative follow-up, including recurrences and complications.
Main Results:
- A low recurrence rate of 0.17% was observed.
- The incidence of metachronous inguinal hernia was 0.46%.
- Contralateral patent processus vaginalis was closed in 17.10% of cases, with no postoperative complications or hydrocele formation.
Conclusions:
- Laparoscopic hernia repair is a safe and beneficial minimally invasive surgical option for pediatric patients.
- The study refutes claims of higher recurrence rates, demonstrating a rate lower than many open repair methods.
- Pediatric laparoscopic hernia repair is recommended due to its safety and efficacy.
Background:
Over the past decade, laparoscopic hernia repair was the most performed operation in our department. Equally, it compromises 15% of all pediatric operations performed. We aim, in this study, to review all the cases performed and extrapolate important information like reoccurrences, the incidence of metachronous inguinal hernia, complications amongst other information.
Material And Methods:
All patients under the age of 18 whom underwent elective laparoscopic hernia repair between 03/01/2007 till the 18/05/2016 were included in our study. We recorded important clinical features and studied their post-operative follow up. Equally reoccurrences, the incidence of metachronous inguinal hernia, complications and other parameters were recorded and studied.
Results:
A total of 916 patients were operated on during the defined study period. There was a 0.17% reoccurrence rate and a 0.46% incidence of metachronous inguinal hernia. Equally a contralateral patent processus vaginalis was diagnosed and closed in 17.10%. There were no postoperative complications and we had a 0% postoperative hydrocele rate.
Conclusion:
Laparoscopic hernia repair is safe and carries all the benefits of minimally invasive surgery. We recommend that it is offered to patients and would like to refute previously claimed reports that it carries a higher reoccurrence rate or takes a long time to perform. Our reoccurrence rate of 0.17% is actually lower than many published reoccurrence rates after open repair.
