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Hernia
Published in: Hernia 4/2015

01-08-2015 | Original Article

A purse-string suture at the level of internal inguinal ring, taking only the peritoneum leaving the distal sac: is it enough for inguinal hernia in pediatric patients?

Authors: D. Y. Lee, Y. H. Baik, B. S. Kwak, M. G. Oh, W. Y. Choi

Published in: Hernia | Issue 4/2015

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Abstract

Purpose

Although laparoscopic surgery in children has expanded in recent years. Laparoscopic hernia repair in children is still debatable. We aimed to summarize and describe our results of laparoscopic inguinal hernia repair and techniques among children.

Methods

Between March 2011 and April 2013, 98 children (67 male, 31 female) underwent laparoscopic inguinal hernia repair at the department of surgery. The clinical outcomes were collected retrospectively.

Results

The mean follow-up period was 22.6 months. Twelve patients were ex-premature infants and a contralateral patent processus vaginalis (PPV) was present in 37 of the 91 unilateral inguinal hernia patients. There were two postoperative complications (transient hydrocele, umbilical port site infection). The mean operative time was 46 min. Recurrence, metachronous hernia and testicular atrophy were not observed during the follow-up period.

Conclusions

Our preliminary experiences suggest that the laparoscopic purse-string suture of internal inguinal opening of hernia sac could be a safe, effective, and reliable alternative for management of pediatric inguinal hernia.
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Metadata
Title
A purse-string suture at the level of internal inguinal ring, taking only the peritoneum leaving the distal sac: is it enough for inguinal hernia in pediatric patients?
Authors
D. Y. Lee
Y. H. Baik
B. S. Kwak
M. G. Oh
W. Y. Choi
Publication date
01-08-2015
Publisher
Springer Paris
Published in
Hernia / Issue 4/2015
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-015-1348-7

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Comment

Reply to comment to article: Posterior component separation with transversus abdominis release successfully addresses recurrent ventral hernias following anterior component separation. Bruce Tulloh, Andrew Charles de Beaux, DOI 10.1007/s10029-015-1391-4

Comment

Comment to: Posterior component separation with transversus abdominis release successfully addresses recurrent ventral hernias following anterior component separation. Pauli EM et al. Hernia 2015; 19: 285–291