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Is the double-ligation method safe and effective in laparoscopic paediatric inguinal hernia repair? A retrospective
Jong Hyuk Yun1, Myoung Won Son, Geum Jong Song
1Department of Surgery, College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, South Korea.
Insights
The double-ligation method for laparoscopic pediatric hernia repair is safe and effective, showing a significantly lower recurrence rate compared to the single-ligation technique. This approach helps improve outcomes in pediatric hernia surgery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Laparoscopic pediatric hernia repair is increasingly common.
- A novel double-ligation technique aims to reduce recurrence rates.
- Previous studies have not extensively compared single and double ligation methods.
Purpose of the Study:
- To compare postoperative outcomes between double and single ligation techniques in laparoscopic pediatric inguinal hernia repair.
- To evaluate the recurrence rates associated with each ligation method.
- To assess the safety and efficacy of the double-ligation method.
Main Methods:
- Retrospective review of 306 pediatric patients undergoing laparoscopic inguinal hernia repair (2014-2018).
- Patients were categorized into single-ligation (n=142) and double-ligation (n=164) groups.
- Comparison of recurrence rates and postoperative complications between the two groups.
Main Results:
- The overall recurrence rate was 1.29% (4 patients).
- The single-ligation group exhibited a significantly higher recurrence rate than the double-ligation group.
- No statistically significant differences in postoperative complications were observed between the groups.
Conclusions:
- The double-ligation method is a safe and beneficial technique for laparoscopic pediatric hernia repair.
- This method demonstrates a reduced risk of hernia recurrence.
- Further research may explore long-term outcomes and broader applications.
Introduction:
Laparoscopic paediatric hernia repair has since been performed more frequently. Recently, a double-ligation method was introduced to prevent recurrence in laparoscopic surgery. The objective of our study was to compare the postoperative outcomes of patients who underwent double and single ligations.
Patients And Methods:
We performed a retrospective review of patients with inguinal hernia who underwent laparoscopic paediatric inguinal hernia repair from 2014 to 2018 at our institution. Patients were divided into two groups and underwent single ligation and double ligation.
Results:
Three hundred and six patients (single-ligation group: 142 and double-ligation group: 164) were included. Four patients experienced recurrence, and the recurrence rate was 1.29%. The recurrence rate was significantly higher in the single-ligation group. There were no statistically significant differences in the postoperative complications between the two groups.
Conclusion:
Double-ligation method in laparoscopic paediatric hernia repair was relatively safe and helpful.
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