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Erschienen in: Surgical Endoscopy 1/2021

23.09.2020 | Dynamic Manuscript

Single-site laparoscopic burnia for inguinal hernias in girls: comparison with open repair

verfasst von: Yih-Cherng Duh, Paul Chia-Yu Chang, Hsuan Huang, Yu-Wei Fu, Yao-Jen Hsu, Chin-Hung Wei, Ming-Hung Shen

Erschienen in: Surgical Endoscopy | Ausgabe 1/2021

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Abstract

Background

Burnia is a suturless repair for inguinal hernias in girls. It is performed under laparoscopy by grabbing the sac, inverting it into the peritoneal cavity, and cauterizing. The aim of this study is to report our experience with single-site laparoscopic burnia (BURNIA) and compare them with open repair (OPEN).

Methods

With IRB approval, pediatric female patients younger than 18 years of age who underwent inguinal hernia repair between January 2015 and December 2017 were enrolled. Medical records were retrospectively reviewed. The patients were divided into two groups, BURNIA and OPEN.

Results

198 patients were included. In BURNIA, 49 patients underwent bilateral repairs, and 50 patients underwent 51 unilateral repairs (one patient had metachronous contralateral hernia). In OPEN, 27 patients underwent bilateral repairs, and 72 patients underwent 77 unilateral repairs (five patients had metachronous contralateral hernias). The mean age of BURNIA was similar to OPEN for bilateral repairs (49.1 ± 36.6 vs. 43.7 ± 26.4 months, p = 0.46), but significantly older for unilateral repairs (54.6 ± 29.8 vs. 29.0 ± 31.4, p < 0.01). The mean operation time of BUNIA was similar to OPEN for bilateral repairs (24.2 ± 7.6 vs. 22.4 ± 8.6 min, p = 0.35), but significantly longer for unilateral repairs (19.2 ± 7.0 vs, 13.6 ± 8.8 min, p < 0.01). The mean follow-up duration of BURNIA was significantly shorter than OPEN for bilateral and unilateral repairs, respectively (32.5 ± 8.8 vs. 45.4 ± 4.8 months, p < 0.01) (30.2 ± 8.8 vs. 39.1 ± 9.6 months, p < 0.01). No conversion was required in BURNIA. There were no complications and no recurrence in all patients.

Conclusions

Single-site laparoscopic burnia is technically feasible, and as safe and effective as open inguinal hernia repair.
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Metadaten
Titel
Single-site laparoscopic burnia for inguinal hernias in girls: comparison with open repair
verfasst von
Yih-Cherng Duh
Paul Chia-Yu Chang
Hsuan Huang
Yu-Wei Fu
Yao-Jen Hsu
Chin-Hung Wei
Ming-Hung Shen
Publikationsdatum
23.09.2020
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 1/2021
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07983-w

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