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An Alternative Technique for Transumbilical Single-Port Laparoscopic Percutaneous Precise Closure of the Inguinal
Xiaoliang Xu1, Guojian Ding1, Xuefeng Cao2
1Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, Shandong Province, China.
Insights
This study shows that single-port laparoscopic-assisted percutaneous closure is a safe and effective method for treating pediatric inguinal hernias, with excellent cosmetic outcomes and no recurrence observed.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Inguinal hernias are common in children.
- Traditional surgical approaches can lead to visible scarring and complications.
Purpose of the Study:
- To evaluate the safety and reliability of a novel single-port laparoscopic-assisted percutaneous closure technique for pediatric inguinal hernias.
Main Methods:
- A study of 917 children with inguinal hernias treated between September 2016 and September 2019.
- The technique involved single-port laparoscopic-assisted percutaneous extraperitoneal closure using a guide wire.
- Data collected included operative time, complications, recurrence rates, and cosmetic results.
Main Results:
- The procedure was performed on 917 children (96.61% boys), with a mean age of 5.2 years.
- Operative times were 24.7 min for bilateral and 14.6 min for unilateral hernias.
- No recurrences were observed, and incision scars were nearly invisible. Minor groin pain or numbness in three cases resolved without medication.
Conclusions:
- Single-port laparoscopic-assisted percutaneous extraperitoneal closure is a safe, cost-effective, and reliable method for pediatric inguinal hernia treatment.
- The technique offers excellent cosmetic results and a low complication rate.
- This approach represents a promising advancement in minimally invasive pediatric surgery.
Objective:
To evaluate the safety and reliability of a novel technique of single-port laparoscopic-assisted percutaneous precise closure of the inguinal hernia sac in children.
Methods:
From September 2016 through September 2019, children with inguinal hernia(s) treated with single-port laparoscopic-assisted percutaneous extraperitoneal closure using a guide wire were enrolled in this study. Operative time, surgical complications, recurrence rate, and cosmetic results were collected.
Results:
A total of 917 cases with inguinal hernia(s) were collected. Among them, there were 886 (96.61%) boys and 31 girls. Their mean age was 5.2 ± 3.7 years. There were 693 (75.57%) cases with unilateral hernia. There were 224 cases with bilateral hernias or patent processus vaginalis, including 135 (14.72%) cases with an open contralateral ring which was confirmed intraoperatively. Twenty-three (2.51%) needed another port to complete the hernia sac separation. The operation time was 24.7 ± 5.2 min and 14.6 ± 3.8 min in bilateral and unilateral ones. Three cases complained of numbness in the thigh region or groin pain which subsided without medication in the 2nd postoperative month. There was no recurrence, and the incision scars were nearly invisible.
Conclusion:
Single-port laparoscopic-assisted percutaneous extraperitoneal closure using a guide wire is a safe, less cost, and reliable technique in the treatment of inguinal hernia in children.
