PAPS PpaersLaparoscopically assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle: A handy single-port laparoscopic herniorrhaphy in children
Section snippets
Materials and methods
Between February 2010 and July 2013, 207 children with inguinal hernia were treated by single-port laparoscopically assisted simple suturing obliteration (LASSO) using an epidural needle with preperitoneal hydrodissection. There were 186 boys and 21 girls, with the age ranged from 2 months to 12 years (average, 2.21 ± 0.23 years). The diagnosis of inguinal hernias was based on clinical presentation and physical examination. Patients with incarcerated hernia, because of the need for an open procedure
Results
A total of 251 inguinal repairs were successfully performed by LASSO in 207 children. Of them, 163 patients had unilateral inguinal hernia repair and 44 patients underwent repair of bilateral inguinal hernias. Mean operating time for unilateral and bilateral inguinal hernia repairs was 18.1 ± 5.4 min and 26.6 ± 4.8 min, respectively. Additional grasping instrument was necessary in 5 patients with huge hernias. There were no intra-operative complications and all patients could be discharged within 24 h
Discussion
Inguinal hernia repair is one of the most frequently performed surgical procedures in children. Laparoscopic herniorrhaphy may have advantages related to the evaluation of contralateral hernia, avoidance of dissecting spermatic vessels and vas deferens. Recently, it has been described that laparoscopic percutaneous extracorporeal ligation, as compared with intracorporeal suturing, resulted in a marked reduction in operative time, low comparative recurrence rates, and excellent cosmetic results
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