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Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A
Lkr Shanbhogue1, Tuqa A Alsinan2,3, Mohammad Samer Baki1
1Pediatric Surgery, Maternity and Children Hospital, Qassim, SAU.
Insights
Laparoscopic excision of the hernial sac is effective for pediatric female inguinal hernias. This minimally invasive approach, without additional peritoneal closure, shows promising results in managing these conditions.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Laparoscopic techniques are increasingly used for pediatric inguinal hernias.
- The efficacy of laparoscopic hernial sac excision in female pediatric patients requires further investigation.
Purpose of the Study:
- To evaluate the effectiveness of laparoscopic hernial sac excision in female pediatric patients.
- To determine if this technique, without distal suturing, is a suitable management approach.
Main Methods:
- A prospective study was conducted over four years.
- 99 hernias in 69 female pediatric patients were treated with laparoscopic inversion and excision of the hernial sac.
- No distal suturing of the peritoneum was performed.
Main Results:
- Two early recurrences were noted, possibly due to incomplete excision.
- No further recurrences were observed after the initial period.
- The technique demonstrated a low recurrence rate in the subsequent follow-up.
Conclusions:
- Laparoscopic excision of the hernial sac is an effective treatment for pediatric female inguinal hernias.
- Adjunctive closure of the peritoneum is not necessary with this laparoscopic approach.
- The study supports the safety and efficacy of this minimally invasive technique.
Introduction:
The utilization of laparoscopic techniques in the management of inguinal hernias among pediatric patients has seen a rising trend. We aimed to assess the efficacy of laparoscopic excision of the hernial sac as a suitable approach for managing inguinal hernias specifically in female patients and conducted a prospective study to investigate this hypothesis.
Methods:
Over a comprehensive four-year period, a total of 99 hernias in 69 female patients were surgically addressed using laparoscopic methods. The surgical procedure primarily involved the laparoscopic inversion and excision of the hernial sac without subsequent distal suturing.
Results:
During the initial phase of the study, two cases encountered recurrences within 48 hours post-operation, potentially attributed to incomplete excision. However, in the subsequent period, no further recurrences were recorded.
Conclusion:
Our study findings support the contention that laparoscopic excision of the sac, without adjunctive closure of the peritoneum, suffices as an effective approach for managing inguinal hernias in female pediatric patients.
