J Korean Assoc Pediatr Surg.  2011 Jun;17(1):58-64.

A Preliminary Report of Laparoscopic Hernia Repair in Children

Affiliations
  • 1Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea. drboo@korea.ac.kr

Abstract

Minimally invasive techniques for pediatric inguinal hernia repair have been evolving in recent years. We applied the laparoscopic method to repair pediatric inguinal hernia using the techniques of sac transection and intra-corporeal ligation. Between November 2008 and August 2010, 67 pediatric patients (47 boys and 20 girls) with inguinal hernias were included in this study. Postoperative activities, pain, and complication were checked prospectively at regular follow-up. One patient presented with clinically bilateral hernia, and three patients had metachronous hernias. Thirty-two cases out of 63 patients with unilateral hernias had a patent processus vaginalis on the contralateral side. Mean operation time was 35+/-11.4 minutes for unilateral hernias and 43+/-11 minutes for bilateral hernias. There were no intra-operative complications. One patient had a small hematoma on the groin postoperatively, which subsided spontaneously in a week. Recurrence and metachronous hernia were not found at follow up. In summary, laparoscopic inguinal repair in children is safe, easy to perform and has an additional advantage of contralateral exploration. Further studies should include long term follow-up.

Keyword

Inguinal hernia repair; Children; Laparoscopy

MeSH Terms

Child
Follow-Up Studies
Groin
Hematoma
Hernia
Hernia, Inguinal
Herniorrhaphy
Humans
Imidazoles
Laparoscopy
Ligation
Nitro Compounds
Prospective Studies
Recurrence
Imidazoles
Nitro Compounds
Full Text Links
  • JKAPS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error