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08-08-2022 | Incision | Original Article

Single-port laparoscopic percutaneous extraperitoneal internal ring closure for paediatric inguinal hernia using a needle grasper

Authors: Pengyu Chen, Shoulin Li, Lingyun Yu, Shiyao Jin, Jiahong Su, Zhilin Yang, Xuerui Sun, Mengkui Sun

Published in: Pediatric Surgery International | Issue 10/2022

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Abstract

Background

Single-site laparoscopic percutaneous extraperitoneal closure has been widely used for the repair of paediatric inguinal hernia. In this study, we aimed to introduce the usage of a needle grasper in single-port laparoscopic herniorrhaphy in children.

Methods

In our study, 447 children with inguinal hernia underwent single-port laparoscopic percutaneous extraperitoneal closure between October 2018 and October 2021 in Shenzhen Children’ hospital were retrospectively reviewed.

Results

Among 447 patients, there were 396 males and 51 females with a mean age of 2.24 ± 0.36 years. A contralateral patent processus vaginalis was present in 165 unilateral hernia patients. All patients underwent laparoscopic percutaneous extraperitoneal closure successfully without converting to open operation. The mean operating time in unilateral and bilateral hernia patients were 10.23 ± 2.25 mine and 14.54 ± 2.81 mine respectively. One patient had subcutaneous emphysema, two male patients had inguinal hernia recurrence and none had complications such as hydrocele and testicular atrophy. Additional 0.3 cm port was done in 4 cases. The mean follow-up time was 22.36 ± 4.56 months.

Conclusions

Single-port laparoscopic percutaneous extraperitoneal closure of paediatric inguinal hernia using a needle grasper is a feasible and safe procedure. It has the advantages of fewer skin surgical incisions, short operating time, low complication and low recurrence rate.
Literature
2.
go back to reference Zhang Y, Chao M, Zhang X, Wang Z, Fan D, Zhang K, Cai Y, Liang C (2018) Does the laparoscopic treatment of paediatric hydroceles represent a better alternative to the traditional open repair technique? A retrospective study of 1332 surgeries performed at two centres in China. Hernia 22(4):661–669. https://doi.org/10.1007/s10029-017-1715-7CrossRefPubMed Zhang Y, Chao M, Zhang X, Wang Z, Fan D, Zhang K, Cai Y, Liang C (2018) Does the laparoscopic treatment of paediatric hydroceles represent a better alternative to the traditional open repair technique? A retrospective study of 1332 surgeries performed at two centres in China. Hernia 22(4):661–669. https://​doi.​org/​10.​1007/​s10029-017-1715-7CrossRefPubMed
Metadata
Title
Single-port laparoscopic percutaneous extraperitoneal internal ring closure for paediatric inguinal hernia using a needle grasper
Authors
Pengyu Chen
Shoulin Li
Lingyun Yu
Shiyao Jin
Jiahong Su
Zhilin Yang
Xuerui Sun
Mengkui Sun
Publication date
08-08-2022
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 10/2022
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-022-05196-x

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