Skip to main content
main-content

01.09.2009 | Ausgabe 9/2009

World Journal of Surgery 9/2009

Technical Standardization of Laparoscopic Herniorraphy in Pediatric Patients

Zeitschrift:
World Journal of Surgery > Ausgabe 9/2009
Autoren:
Ciro Esposito, Leonardo Montinaro, Francesca Alicchio, Silvia Scermino, Angela Basile, Tommaso Armenise, Alessandro Settimi

Abstract

Background

Laparoscopic inguinal hernia repair is rarely reported in pediatric patients. We report our experience on this topic to show the standardization of the technique.

Methods

In a 3-year period we operated 315 patients for unilateral inguinal hernia using laparoscopy. Fifty of the 315 patients (15.9 %) were younger than 1 year old. The age ranged from 1 month to 8 years (median 3.2) with a median body weight of 14.3 kg. We always used three trocars, and we used the modified laparoscopic herniorraphy according to Montupet. After sectioning the sac distally to the ring, the periorificial peritoneum was closed with a purse-string suture of nonresorbable suture material.

Results

The operating time averaged 25 min. All the procedures were performed in a day-hospital setting. In 123/315 patients (39 %), at operation we found a contralateral patency of the processus vaginalis. In these 123 cases we performed a bilateral herniorraphy. In one girl (0.3 %) we found a coexistence of oblique external hernia and a direct hernia, and both orifices were sutured in laparoscopy. We recorded only 1 minor complication: a problem with needle extraction. With a minimum follow-up of 1 year, there were 2 recurrences (0.6 %).

Conclusions

We believe that laparoscopic repair of inguinal hernia in expert hands is a safe and effective procedure. It makes it possible to repair all forms of inguinal hernia simultaneously, together with contralateral patencies, which has cemented its role as an alternative to conventional repair.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Bis zum 22.10. bestellen und 100 € sparen!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 9/2009

World Journal of Surgery 9/2009Zur Ausgabe
  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

Neu im Fachgebiet Chirurgie

 

 

 
 

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise