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Laparoscopic paediatric inguinal hernia repair: lessons learned from 102 cases
Lukas O'Brien1, Enda Hannan2, Sinead Hassett3
1Department of Paediatric Surgery, Children's Health Ireland at Crumlin, Dublin, Ireland. lukas.o-brien@ucdconnect.ie.
Irish Journal of Medical Science
|March 22, 2022
Summary
Paediatric laparoscopic inguinal hernia repair (LIHR) is a safe and effective treatment for children. This study shows LIHR has a low recurrence and complication rate, making it a viable option.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Pediatric inguinal hernias (IHs) are common surgical conditions.
- Laparoscopic inguinal hernia repair (LIHR) was first described in 1993.
- Current treatment lacks a gold standard, with both open and laparoscopic approaches used.
Purpose of the Study:
- To retrospectively evaluate the initial experience with LIHR in pediatric patients.
- To assess the safety and efficacy of LIHR in a pediatric population.
Main Methods:
- Retrospective observational cohort study.
- Inclusion of all pediatric patients undergoing LIHR.
- Examination of intraoperative and postoperative outcomes.
Main Results:
- 102 pediatric patients underwent LIHR, with a median age of 5 months; 31.4% were neonates.
- No intraoperative vascular or visceral injuries occurred.
- A 1.9% recurrence rate was observed, primarily in early cases before technique modification. Overall complication rate was 7.1%.
Conclusions:
- Pediatric LIHR is safe, feasible, and effective.
- The procedure is associated with a short hospital stay, low recurrence, and low complication rates.
- LIHR is versatile for elective and emergency pediatric IH across a wide age range.
