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Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle
Jian Zhou1, Xinxin Chen1, Tong Jiang1
1Department of Pediatric Surgery, Wenzhou Women and Children's Hospital, Wenzhou, China.
Insights
A new transumbilical single-port laparoscopic technique effectively treats pediatric inguinal hernias. This minimally invasive approach offers a safe, rapid recovery with satisfactory outcomes and minimal scarring.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Laparoscopic Surgery
Background:
- Inguinal hernia is the most common condition in pediatric surgery, often resulting from congenital processus vaginalis patency.
- Herniorrhaphy constitutes approximately 15% of all pediatric surgical operations.
- Laparoscopic inguinal herniorrhaphy has gained prominence globally due to advancements in minimally invasive technology.
Purpose of the Study:
- To introduce and assess a novel transumbilical single-port laparoscopic water-injection hernia crochet needle technique.
- To evaluate the feasibility and surgical efficacy of this new method for pediatric inguinal hernia repair.
Main Methods:
- Retrospective analysis of clinical data from 136 pediatric patients.
- Treatment involved a transumbilical single-port laparoscopic water-injection hernia crochet needle.
- Data collected from June 2017 to December 2018.
Main Results:
- All 136 procedures were completed successfully without conversion to other surgical methods.
- Average operative times were 16 minutes for unilateral and 35 minutes for bilateral procedures.
- Follow-up averaged 10 months, with one case of knot reaction treated conservatively and no recurrences observed.
Conclusions:
- The transumbilical single-port laparoscopic water-injection hernia crochet needle is a feasible technique for pediatric inguinal hernia.
- This method demonstrates safety, reduced trauma, quick recovery, and minimal scarring.
- The technique shows satisfactory efficacy and warrants clinical promotion.
Introduction:
Inguinal hernia is the most common disease in pediatric surgery and is induced by congenital processus vaginalis patency. Almost all inguinal hernias are inguinal indirect hernias, and herniorrhaphy has accounted for about 15% of all pediatric operations. In the past 20 years, with the development of minimally invasive technology, laparoscopic inguinal herniorrhaphy has been emerging in China and in other countries.
Aim:
To introduce a new technique for treating inguinal hernia in children, and evaluate the feasibility and surgical efficacy of a transumbilical single-port laparoscopic water-injection hernia crochet needle in treating pediatric inguinal hernia.
Material And Methods:
Clinical data of 136 inguinal hernial children treated using a transumbilical single-port laparoscopic water-injection hernia crochet needle in our hospital from June 2017 to December 2018 were retrospectively analyzed.
Results:
All procedures were successfully accomplished, and no case was converted to a different procedure; the average operation time was 16 min for one side and 35 min for both sides. Patients were followed for an average of 10 months after surgery. One patient had a line-knot reaction at the inguinal puncture point 3 months after surgery and recovered after conservative treatment, and no recurrent case was observed after surgery.
Conclusions:
It is feasible to treat pediatric inguinal hernia through a transumbilical single-port laparoscopic water-injection hernia crochet needle, which is associated with safety, less trauma, rapid recovery, no obvious scar, and satisfactory efficacy. Therefore, it is worthy of being promoted and applied in clinical practice.
