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The outcome of closure of inguinal hernia with laparoscopic percutaneous extraperitoneal closure in young adults
Keiichiro Tanaka1,2, Yuichiro Miyaki3, Kumpei Abe1
1Department of Pediatric Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Insights
Laparoscopic percutaneous extraperitoneal closure (LPEC) is safe and effective for young adults and children. This study found longer surgical times in adults but no complications, supporting LPEC
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Hernioplasty is a common surgical procedure.
- Optimal surgical techniques for young adults remain undefined.
- Laparoscopic percutaneous extraperitoneal closure (LPEC) is a minimally invasive option.
Purpose of the Study:
- To compare the outcomes of LPEC in young adults (15-30 years) with those in children (<15 years).
- To evaluate the safety and efficacy of LPEC in a broader age range.
Main Methods:
- Retrospective review of 2642 patients who underwent LPEC (0-30 years).
- Analysis of demographic data, hernia type, surgical time, and complications.
- Specific focus on 51 young adult patients (15-30 years).
Main Results:
- Young adults (15-30 years) had a longer median surgical time (33 min) compared to children (<15 years) (19 min).
- Asymptomatic contralateral patent processus vaginalis (CPPV) was less frequent in young adults (15.9%) than in children (50.2%).
- No intra- or post-operative complications were reported during a median follow-up of 4.7 years.
Conclusions:
- LPEC is an effective, safe, and cosmetic surgical treatment for both young adults and children.
- The study provides the first reported outcomes for LPEC in young adult patients.
- LPEC demonstrates favorable safety and efficacy across a wide age spectrum.
Background:
Hernioplasty is one of the most commonly performed surgeries. However, the optimal procedure for young adults has not been defined yet. Our study compared the outcomes of laparoscopic percutaneous extraperitoneal closure (LPEC) in young adults with outcomes in children.
Material And Methods:
We retrospectively reviewed patients aged 0-30 years who underwent LPEC. Data regarding age, sex, hernia type, surgical time, pre-intraoperative laterality, contralateral patent processus vaginalis (CPPV), and complications were analyzed.
Results:
LPEC was performed on 2642 patients in our hospital. Of these, 51 patients were young adults (aged 15-30 years). Asymptomatic CPPV in unilateral patients was frequent in the <15-year age group (50.2%) compared to the 15-30-year age group (15.9%). The median surgical time was shorter in the <15-year age group (19 min, interquartile range [IQR]: 24-33) compared to that of the 15-30-year age group (33 min, IQR: 23.3-40.8).
Conclusions:
This is the first report on the outcomes in young adult patients who underwent LPEC. The median surgical time was longer in the 15-30-year age group than in the <15-year age group. The median follow-up was 4.7 years with no intra-postoperative complications, such as postoperative bleeding, infection, persistent pain, and recurrence. LPEC is an effective, cosmetic, and safe surgical treatment in young adults and children.
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