Top

Hernia

Published in:

01-06-2017 | Original Article

Modified single-port vs two-port laparoscopic herniorrhaphy for children with concealed deferent duct: a retrospective study from a single institution

Authors: Y. Peng, C. Li, Z. Han, X. Nie, W. Lin

Published in: Hernia | Issue 3/2017

Abstract

Purpose

Single-port laparoscopic herniorrhaphy is widely employed for indirect inguinal hernia repair in children. However, few surgeons utilize the single-port technique to repair such hernias with concealed deferent ducts. The aim of this study was to assess the application of the modified single-port laparoscopic technique (MSPT) in cases with concealed deferent ducts and to compare the results to those obtained with the two-port technique (TPT).

Methods

Between January 2006 and January 2012, all consecutive cases were retrospectively studied. The inclusion criteria were as follows: (1) age no more than 3 years; and (2) a concealed deferent duct identified by laparoscopy. Two-hundred and three children were treated using TPT from January 2006 to December 2008. One-hundred and ninety-three children were treated using MSPT from January 2009 to January 2012. The clinical variables and surgical outcomes were compared between the two groups.

Results

The differences in operation duration, vessel injury, conversion, postoperative hydrocele occurrence and umbilical hernia were not significant between the two groups. Ipsilateral groin swelling was more common in the MSPT group. No wound infection, recurrence, metachronous hernia or testicular atrophy occurred in either group.

Conclusions

Despite the high incidence of ipsilateral groin swelling, MSPT is a feasible alternative to TPT in children with indirect inguinal hernias with multiple peritoneal folds. Furthermore, we have developed a new method to explore the contralateral groin using a single-port technique.

Mollen KP, Kane TD (2007) Inguinal hernia: what we have learned from laparoscopic evaluation of the contralateral side. Curr Opin Pediatr 19(3):344–348. doi:10.1097/MOP.0b013e3281574597 CrossRefPubMed

Esposito C, St Peter SD, Escolino M, Juang D, Settimi A, Holcomb GW 3rd (2014) Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J Laparoendosc Adv Surg Tech Part A 24(11):811–818. doi:10.1089/lap.2014.0194 CrossRef

Alzahem A (2011) Laparoscopic versus open inguinal herniotomy in infants and children: a meta-analysis. Pediatr Surg Int 27(6):605–612. doi:10.1007/s00383-010-2840-x CrossRefPubMed

Yamoto M, Morotomi Y, Yamamoto M, Suehiro S (2011) Single-incision laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: an initial report. Surg Endosc 25(5):1531–1534. doi:10.1007/s00464-010-1430-2 CrossRefPubMed

Montupet P, Esposito C (2011) Fifteen years experience in laparoscopic inguinal hernia repair in pediatric patients. Results and considerations on a debated procedure. Surg Endosc 25(2):450–453. doi:10.1007/s00464-010-1188-6 CrossRefPubMed

Draus JM Jr, Kamel S, Seims A, Rescorla FJ (2011) The role of laparoscopic evaluation to detect a contralateral defect at initial presentation for inguinal hernia repair. Am Surg 77(11):1463–1466PubMed

Endo M, Watanabe T, Nakano M, Yoshida F, Ukiyama E (2009) Laparoscopic completely extraperitoneal repair of inguinal hernia in children: a single-institute experience with 1,257 repairs compared with cut-down herniorrhaphy. Surg Endosc 23(8):1706–1712. doi:10.1007/s00464-008-0300-7 CrossRefPubMedPubMedCentral

Dutta S, Albanese C (2009) Transcutaneous laparoscopic hernia repair in children: a prospective review of 275 hernia repairs with minimum 2-year follow-up. Surg Endosc 23(1):103–107. doi:10.1007/s00464-008-9980-2 CrossRefPubMed

Patkowski D, Czernik J, Chrzan R, Jaworski W, Apoznanski W (2006) Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. J Laparoendosc Adv Surg Tech Part A 16(5):513–517. doi:10.1089/lap.2006.16.513 CrossRef

10.

Ozgediz D, Roayaie K, Lee H, Nobuhara KK, Farmer DL, Bratton B, Harrison MR (2007) Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: report of a new technique and early results. Surg Endosc 21(8):1327–1331. doi:10.1007/s00464-007-9202-3 CrossRefPubMed

11.

Li B, Nie X, Xie H, Gong D (2012) Modified single-port laparoscopic herniorrhaphy for pediatric inguinal hernias: based on 1,107 cases in China. Surg Endosc 26(12):3663–3668. doi:10.1007/s00464-012-2396-z CrossRefPubMed

12.

Shalaby R, Ismail M, Samaha A, Yehya A, Ibrahem R, Gouda S, Helal A, Alsamahy O (2014) Laparoscopic inguinal hernia repair; experience with 874 children. J Pediatr Surg 49(3):460–464. doi:10.1016/j.jpedsurg.2013.10.019 CrossRefPubMed

13.

Chan KL, Tam PK (2004) Technical refinements in laparoscopic repair of childhood inguinal hernias. Surg Endosc 18(6):957–960. doi:10.1007/s00464-003-8263-1 CrossRefPubMed

14.

Bharathi RS, Arora M, Baskaran V (2008) How we “SEAL” internal ring in pediatric inguinal hernias. Surg Laparosc Endosc Percut Tech 18(2):192–194. doi:10.1097/SLE.0b013e31816a0645 CrossRef

15.

Tam YH, Wong YS, Pang KK, Tsui SY, Mou JW, Houben CH, Chan KW, Lee KH (2013) Unexpected metachronous hernia development in children following laparoscopic unilateral hernia repair with negative evaluation for contralateral patent processus vaginalis. J Laparoendosc Adv Surg Tech Part A 23(3):287–290. doi:10.1089/lap.2012.0365 CrossRef

16.

Juang D, Garey CL, Ostlie DJ, Snyder CL, Holcomb GW 3rd, St Peter SD (2012) Contralateral inguinal hernia after negative laparoscopic evaluation: a rare but real phenomenon. J Laparoendosc Adv Surg Tech Part A 22(2):200–202. doi:10.1089/lap.2011.0092 CrossRef

17.

Uchida H, Kawashima H, Goto C, Sato K, Yoshida M, Takazawa S, Iwanaka T (2010) Inguinal hernia repair in children using single-incision laparoscopic-assisted percutaneous extraperitoneal closure. J Pediatr Surg 45(12):2386–2389. doi:10.1016/j.jpedsurg.2010.08.037 CrossRefPubMed

18.

Rothenberg SS, Shipman K, Yoder S (2009) Experience with modified single-port laparoscopic procedures in children. J Laparoendosc Adv Surg Tech Part A 19(5):695–698. doi:10.1089/lap.2009.0148 CrossRef

19.

Chang YT, Wang JY, Lee JY, Chiou CS (2009) A simple single-port laparoscopic-assisted technique for completely enclosing inguinal hernia in children. Am J Surg 198(1):e13–e16. doi:10.1016/j.amjsurg.2008.11.047 CrossRefPubMed

20.

Cho A, Basson S, Tsang T (2013) Outcomes of a structured training programme for paediatric laparoscopic inguinal hernia repair. J Pediatr Surg 48(2):404–407. doi:10.1016/j.jpedsurg.2012.11.022 CrossRefPubMed

21.

Saka R, Okuyama H, Sasaki T, Nose S, Yoneyama C (2014) Safety and efficacy of laparoscopic percutaneous extraperitoneal closure for inguinal hernias and hydroceles in children: a comparison with traditional open repair. J Laparoendosc Adv Surg Tech Part A 24(1):55–58. doi:10.1089/lap.2013.0109 CrossRef

22.

Li S, Liu L, Li M (2014) Single-port laparoscopic percutaneous extraperitoneal closure using an innovative apparatus for pediatric inguinal hernia. J Laparoendosc Adv Surg Tech Part A 24(3):188–193. doi:10.1089/lap.2013.0288 CrossRef

23.

Schier F (2006) Laparoscopic inguinal hernia repair-a prospective personal series of 542 children. J Pediatr Surg 41(6):1081–1084. doi:10.1016/j.jpedsurg.2006.02.028 CrossRefPubMed

24.

Muensterer OJ (2011) Multimedia manuscript: inguinal hernia repair by single-incision pediatric endosurgery (SIPES) using the hydrodissection-lasso technique. Surg Endosc 25(10):3438–3439. doi:10.1007/s00464-011-1713-2 CrossRefPubMed

Title: Modified single-port vs two-port laparoscopic herniorrhaphy for children with concealed deferent duct: a retrospective study from a single institution
Authors: Y. Peng
C. Li
Z. Han
X. Nie
W. Lin
Publication date: 01-06-2017
Publisher: Springer Paris
Published in: Hernia / Issue 3/2017
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-016-1533-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Modified single-port vs two-port laparoscopic herniorrhaphy for children with concealed deferent duct: a retrospective study from a single institution

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2017

Comment to “An umbilical surprise: a collective review on umbilical pilonidal sinus”. J. B. Ponten, J. E. H. Ponten, M. D. P. Luyer, S. W. Nienhuijs

Quantitative assessment of the impacts of stoppa repair and total extraperitoneal repair on the lower extremity muscular functions in cases of unilateral inguinal hernia: a randomized controlled study

Predicting 30-day postoperative mortality for emergent anterior abdominal wall hernia repairs using the American College of Surgeons National Surgical Quality Improvement Program database

The Achilles’ heel of Sugarbaker

The triangles of Grynfeltt and Petit and the lumbar tunnel: an anatomo-radiologic study

Renal paratransplant hernia revealed: a review of the literature