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Langenbeck's Archives of Surgery

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Open Access 01-12-2024 | Inguinal Hernia | Research

Approach to concurrent inguinal hernias during laparoscopic appendectomy for early appendicitis

Authors: Sabriye Dayı, Meryem Anayurt, Fatma Çınar, İsmet Kırmacı, Serpil Sancar

Published in: Langenbeck's Archives of Surgery | Issue 1/2024

Abstract

Purpose

Concurrent inguinal hernia can be a challenge for a pediatric surgeon during a laparoscopic appendectomy in children. We aimed to present our approach to inguinal hernias seen during laparoscopic appendectomy.

Methods

In our pediatric surgery clinic between July 2019 and December 2022, the records of patients aged 0–18 who underwent laparoscopic appendectomy were retrospectively investigated. The clinical findings, surgical procedure, and results of intervened inguinal hernia cases during laparoscopic appendectomy were evaluated.

Results

Between the study dates, 293 laparoscopic appendectomies were performed in our clinic. Patent processus vaginalis was observed in 5 (1.7%) cases. Laparoscopic hernia repair was performed with the Burnia technique in 2 girls. In one case, the omentum was herniated and adhered to the hernia sac seen during laparoscopy. In another case, swelling in the groin occurred during the introduction of air into the abdomen at the beginning of the operation. Patent processus vaginalis seen in 3 asymptomatic cases was not intervened. There were no postoperative complications or recurrences in the two patients who underwent hernia repair.

Conclusion

Hernia repair with the Burnia technique might be safely performed in symptomatic inguinal hernia cases seen during laparoscopic appendectomy for early appendicitis.

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Title: Approach to concurrent inguinal hernias during laparoscopic appendectomy for early appendicitis
Authors: Sabriye Dayı
Meryem Anayurt
Fatma Çınar
İsmet Kırmacı
Serpil Sancar
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Inguinal Hernia
Appendectomy
Appendicitis
Appendicitis
Laparoscopy
Published in: Langenbeck's Archives of Surgery / Issue 1/2024
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-024-03269-0

At a glance: The STEP trials

Springer Medicine

Approach to concurrent inguinal hernias during laparoscopic appendectomy for early appendicitis

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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