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J Korean Assoc Pediatr Surg. 2014 Dec;20(2):23-27. Korean. Original Article. https://doi.org/10.13029/jkaps.2014.20.2.23
Lee CH , Boo YJ , Lee EH .
Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea. drboo@korea.ac.kr
Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.
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.

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