Laparoscopic hernia repair in children: Which method is the best?

Authors : Cetin KARADAĞ, Başak ERGİNEL, Nihat SEVER, Melih AKIN, Abdullah YILDIZ, Ali DOKUCU

Pages : 11-13

View : 35 | Download : 8

Publication Date : 2016-02-20

Article Type : Research Paper

Abstract :This study aimed to evaluate the outcomes of laparoscopic inguinal hernia insert ignore into journalissuearticles values(LIH); repair in pediatric patients in our clinic. LIH repairs that are between January 2008 and April 2013 were evaluated retrospectively. LIH repair was performed between in 133 patients with a mean age of 5.57 years insert ignore into journalissuearticles values(range 1 month-17 years);. For the repairs, either the Schier’s, Montupet’s, or percutaneous internal ring suturing insert ignore into journalissuearticles values(PIRS); techniques were used. Of the cases, 67 were on the right side insert ignore into journalissuearticles values(50.4%);, 33 on the left insert ignore into journalissuearticles values(24.8%);, and 33 were bilateral insert ignore into journalissuearticles values(24.8%);. Of the patients who underwent laparoscopic surgery for inguinal hernia insert ignore into journalissuearticles values(133); 70 were male. Schier’s method was used in 23 patients, 8 with bilateral hernias. Montupet’s was used in 28 patients insert ignore into journalissuearticles values(4 with bilateral hernias);. The PIRS method can be very well considered as the first choice because of it is relatively easy to apply, can be completed in less operative time, and is more cost effective than the other methods. In 7 cases, concomitant umbilical hernias were used as camera ports and repaired at the end of the operation. One femoral hernia was diagnosed and repaired. No complications or recurrences occurred during the mean 48-month insert ignore into journalissuearticles values(16-76 months); follow up. LIH repair is a safe method in children, it is affordable compared to other laparoscopic operations, and it is advantageous, especially in recurrent hernias, in cases concomitant with umbilical hernias, and in bilateral hernias. The PIRS method may be the first choice because of its lesser operative time, expense, and need for surgical experience. 
Keywords : Hernia, Inguinal, Laparoscopy, Pediatric, Repair

ORIGINAL ARTICLE URL