Laparoscopic Percutaneous Extraperitoneal Closure in Pediatric Indirect Inguinal Hernia and Hydrocele : Approaching and Outcomes in Regional Hospital Perspective
Keywords:
Indirect inguinal hernia, HydroceleAbstract
Background: The etiology of indirect inguinal hernia and hydrocele in children is patent processus vaginalis. Traditional gold standard procedure is open repair. Conventional open herniotomy and hydrocelectomy has been reported the recurrent and metachronous rates. Now a day, Laparoscopic extraperitoneal closure has been reported the reduced these incidences.
Objective: This report introduce the result of laparoscopic extraperitoneal closure technique in Maharaj Nakhon Si Thammarat hospital
Materials and Methods: The Retrospective study about Laparoscopic Percutaneous Extraperitoneal Closure in Pediatric Indirect Inguinal hernia and hydrocele in Maharaj Nakhon Sri Thammarat , Age 0-15 years old. Collect data from 2017-2022.
Results: A series of 60 children were all of inguinal hernia and hydrocele treat by laparoscopic percutaneous extraperitoneal closure in Maharaj Nakhon Si Thammarat hospital. The patient were male 48(80%) and female 12(20%). The number of patent processus vaginalis are unilateral lesion 46(76%) and metachronous lesion 14(24%). The operative time in male populations in unilateral lesion was 23.75 mins and bilateral lesion was 30.4 mins and in female populations in unilateral lesion was 23 mins and bilateral lesion was 30 mins. Recurrence in 1 patient(1.6%). No postoperative testicular atrophy.
Conclusion: Laparoscopic Percutaneous Extraperitoneal Closure of processus vaginalis in Pediatric Indirect Inguinal Hernia and Hydrocele has a safe , good and satisfy result of procedure
References
Montupet P, Esposito C. Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg 1999;34:420-3.
Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg 2006;41:1999-2003
Shelby RY, Ismail M, Shehata S. Shalaby technique for efficient single incision laparoscopic pediatric inguinal repair. J Pediatr Surg 2015;50:1995-2000
Uchida H, Kawashima H, Goto C. Inguinal hernia repair in children using single-incision laparoscopic-assisted percutaneous extraperitoneal closure. J Pediatr Surg 2010;45:2386-2389
Svetanoff WJ, Fraser JA, Briggs KB. A single institution experience with Laparoscopic Hernia repair in 791 children. J Pediatr Surg 2021;51:1330-1335
Thomas DT, Gocmen KB, Tulgar S. Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: Experience with 250 cases. J Pediatr Surg 2016;51:1330-1335
Alzahem A. Laparoscopic versus open inguinal herniotomy in infants and children; a meta-analysis. Pediatr Surg Int 2011;27:605-12.
Rothenberg SS, Shipman K, Yoder S. Experience with modified single-port laparoscopic procedures in children. J Laparoendosc Adv Surg Tech A 2009;19:695-8.
Kozlov Y, Kapuller V. Results of using the method of full extraperitoneal endoscopically assisted ligation of the hernia sac with inguinal hernia in children. J Pediatr Surg 2022;57:153-157
Chang YT, Wang JY, Lee JY, et al. A simple single-port laparoscopic assisted technique for completely enclosing inguinal hernia in children. Am J Surg 2009;198:e13-6.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
