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SURGICAL TACTICS IN RECURRENT INGUINAL HERNIAS AT THE CHILDREN
1DNIPRO MEDICAL INSTITUTE OF TRADITIONAL AND NON-TRADITIONAL MEDICINE, DNIPRO, UKRAINE.
Insights
This study introduces an improved laparoscopic technique for treating recurrent inguinal hernias in children, reducing recurrence rates. The innovative method effectively eliminates the hernia sac without damaging surrounding inguinal canal structures.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Recurrent inguinal hernias in children pose a significant surgical challenge.
- Traditional surgical methods for inguinal hernias can lead to recurrence, particularly in younger patients or after initial strangulation repair.
Observation:
- A novel laparoscopic approach was developed for recurrent inguinal hernias in pediatric patients.
- The study involved 48 laparoscopic procedures performed between 2017 and 2020.
Findings:
- The innovative laparoscopic technique successfully addresses the hernial pocket without causing additional injury to inguinal canal structures.
- Analysis indicated that recurrences were more common in young children and after traditional surgeries for strangulated hernias.
Implications:
- This improved surgical tactic enhances treatment effectiveness for pediatric recurrent inguinal hernias.
- The findings support the use of this laparoscopic method to preserve testicular drainage and ovarian vascularization.
Objective:
The aim: Is to increase effectiveness of treatment at the children with recurrent inguinal hernias by improving surgical tactics.
Patients And Methods:
Materials and methods: Method of laparoscopic correction of the recurrent inguinal hernias in children. For a period from 2017 to 2020 years in the surgical department of Municipal Establishment «Dnipro specialized clinical center of mother and child named by professor M. F. Rudnev» of Dnipro Regional Council» situated in the city Dnipro were carried out 48 laparoscopic procedures in a case of recurrent inguinal keel in children at the age of 3 years.
Results:
Results: We proposed an innovative method of laparoscopic correction the recurrent inguinal hernias, which allows to eliminate a hernial pocket without additional injury structures of the inguinal canal. At the analysis cases of recurrent inguinal hernias was concluded, that recrudescence appeared among young children and more frequently, after surgical interference on the strangulated inguinal hernias, which were operated by traditional ways.
Conclusion:
Conclusions: According to the results of our research, it had been proved, that among numerous measures, focused on a restoration drainage system violation in the testicle, in a case of infringement obliteration of vaginal sprouts of a peritoneum in the boys and to keep safe ovarium vascularization in the girls.
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