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Pediatric Surgery International
Published in: Pediatric Surgery International 6/2003

01-08-2003 | Original Article

Non-ligation of the hernial sac during herniotomy: a prospective study

Authors: A. Mohta, N. Jain, K. P. Irniraya, S. S. Saluja, S. Sharma, A. Gupta

Published in: Pediatric Surgery International | Issue 6/2003

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Abstract

Herniotomy is performed for the surgical repair of hernia and along with orchiopexy for the closure of associated patent processus vaginalis. Ligation of the hernial sac has been considered mandatory for a successful repair. The present report was designed to study the results of non-ligation of the hernial sac before excision at the neck. It was found that non-ligation has no untoward effect on early complications and recurrence rate on long-term follow-up. It is suggested that it is not necessary to ligate the hernial sac during herniotomy in children.
Literature
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Shulman AG, Amid PK, Lichtenstein IL (1993) Ligation of the hernial sac. A needless step in adult hernioplasty. Int Surg 78:152–153PubMed
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Hubbard TB, Khan MZ, Carag VR Jr, Albites VE, Hricko GM (1967) The pathology of peritoneal repair: its relation to the formation of adhesions. Ann Surg 165:908–916PubMed
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Palazzetti PL, Cipriano L, Pachi A (2000) Is peritoneal closure necessary after abdominal hysterectomy. Int J Gynaecol Obstet 71:255–256CrossRefPubMed
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Ferguson DJ (1978) Closure of the hernial sac—pro and con. In: Nyhus LM, Condon RE (eds) Hernia, 2nd edn. Lippincott, pp 152–153
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Smedberg SGG, Browne AEA, Gullmo A (1984) Ligation of the hernial sac? Surg Clin N Am 64:299–306
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Metadata
Title
Non-ligation of the hernial sac during herniotomy: a prospective study
Authors
A. Mohta
N. Jain
K. P. Irniraya
S. S. Saluja
S. Sharma
A. Gupta
Publication date
01-08-2003
Publisher
Springer-Verlag
Published in
Pediatric Surgery International / Issue 6/2003
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-002-0940-y

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