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Published on: November 12, 2021
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Laparoscopic extraperitoneal technique versus open inguinal herniotomy in children: historical controlled
Arada Suttiwongsing1, Jiraporn Khorana2,3, Patchara Ruangwongroj4,5
1Division of Pediatric Surgery, Department of Surgery, Chiangrai Prachanukroh Hospital, Chiang Rai, Thailand.
World Journal of Pediatric Surgery
|December 7, 2022
Summary
Laparoscopic hernia repair in children shows comparable outcomes to open repair, potentially reducing metachronous contralateral hernias. Both surgical methods offer similar benefits and drawbacks.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Indirect inguinal hernias are common in children.
- Traditional open inguinal hernia (OH) repair is a standard procedure.
- Laparoscopic hernia (LH) repair offers a minimally invasive alternative.
Purpose of the Study:
- To compare surgical outcomes of laparoscopic extraperitoneal simple purse string method (LH) versus traditional open inguinal hernia (OH) repair in pediatric patients.
- To evaluate operative time, recurrence, complications, and incidence of metachronous contralateral inguinal hernia (MCIH) and contralateral patent processus vaginalis (CPPV).
Main Methods:
- A historical-controlled intervention study comparing 95 LH cases (2018-2019) with 210 OH cases (2016-2017).
- Analysis of operative time, overall complications, CPPV, and MCIH incidence between the two groups.
Main Results:
- No significant difference in overall complications between LH and OH groups.
- Operative time was significantly less for unilateral OH in females compared to LH (15.7 vs 20.5 min).
- Incidence of CPPV was 15.7% in the LH group and MCIH was 10.9% in the OH group.
Conclusions:
- Laparoscopic hernia repair may decrease the incidence of metachronous contralateral hernias, potentially avoiding a second surgery.
- Both open and laparoscopic techniques demonstrate equivalent efficacy and safety profiles for pediatric inguinal hernia repair.
