Approach to concurrent inguinal hernias during laparoscopic appendectomy for early appendicitis

Area of Science:

• Pediatric Surgery
• Laparoscopic Surgery
• Hernia Repair

Background:

• Concurrent inguinal hernias present a surgical challenge during pediatric laparoscopic appendectomy.
• Early identification and management are crucial for optimal patient outcomes.

Purpose of the Study:

• To present a standardized approach for managing inguinal hernias identified during laparoscopic appendectomy in children.
• To evaluate the safety and efficacy of the Burnia technique for hernia repair in this context.

Main Methods:

• Retrospective review of pediatric patients (0-18 years) undergoing laparoscopic appendectomy between July 2019 and December 2022.
• Evaluation of clinical findings, surgical procedures, and outcomes for cases with concurrent inguinal hernias.

Main Results:

• 293 laparoscopic appendectomies were performed; 5 cases (1.7%) had patent processus vaginalis.
• Two symptomatic cases underwent laparoscopic hernia repair using the Burnia technique.
• No postoperative complications or recurrences were noted in the repaired cases.

Conclusions:

• The Burnia technique is a safe and effective option for repairing symptomatic inguinal hernias incidentally found during laparoscopic appendectomy for early appendicitis.
• This approach minimizes the need for separate surgical interventions.