J Korean Assoc Pediatr Surg.  2014 Dec;20(2):23-27. 10.13029/jkaps.2014.20.2.23.

Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

• Lee CH
• Boo YJ
• Lee EH

• KMID: 1961481
• DOI: http://doi.org/10.13029/jkaps.2014.20.2.23

Abstract

PURPOSE
Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy.
METHODS
Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated.
RESULTS
The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period.
CONCLUSION
The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.

Keyword

Inguinal hernia; Child; Laparoscopy; Hernia repair

MeSH Terms

Child*
Cohort Studies*
Follow-Up Studies
Hernia*
Hernia, Inguinal
Herniorrhaphy
Humans
Informed Consent
Inguinal Canal
Laparoscopy
Ligation*
Lost to Follow-Up
Prospective Studies
Recurrence

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