Can Percutaneous Internal Ring Suturing Procedure Take the Place of Open Method in the Surgical Treatment of Girls with Inguinal Hernia?
Girls
hernia repair
indirect inguinal hernia
laparoscopic hernia repair
ovary sliding
percutaneous internal ring suturing
Journal
Sisli Etfal Hastanesi tip bulteni
ISSN: 1302-7123
Titre abrégé: Sisli Etfal Hastan Tip Bul
Pays: Turkey
ID NLM: 9424130
Informations de publication
Date de publication:
2022
2022
Historique:
received:
08
06
2021
accepted:
31
08
2021
entrez:
22
8
2022
pubmed:
23
8
2022
medline:
23
8
2022
Statut:
epublish
Résumé
Percutaneous internal ring suturing (PIRS) method for inguinal hernia (IH) repair in girls is increasingly used in clinics especially experienced in minimal invasive surgery. We aimed to evaluate and compare our results of laparoscopic PIRS and the open procedure for IH repair in girls in our series. We retrospectively evaluated female patients in our pediatric surgery clinic who underwent IH surgery between 2012 and 2017 and results were assessed statistically. We identified 293 girls operated in our clinic with IH. In 164 of them, PIRS procedure (group 1) was performed; 73 had right, 26 had left, and 65 (39.6%) had bilateral IH. Among these 65 patients, 16 had only right and 11 had only left IH according to preoperative examination, which turned out to be bilateral during laparoscopy. In the open surgery group (Group II), there were 129 patients. Seventy-eight patients had right, 38 had left, and 13 (10%) had bilateral IH. Sliding fallo-pian tubes were present in seven of Group I versus 21 of group II (p<0.001), while sliding ovaries were present in seven of Group I versus 16 of Group II (p=0.015). Recurrence was observed in only one patient in Group I (p>0.05). The higher rate of bilaterality is still the problem for laparoscopic procedures. Despite over-diagnosis, no more complications were not detected due to PIRS. High ratio of sliding tubes and ovaries can be due to traction for preparing the sac in open surgery. Hematoma can be a serious problem to complete PIRS procedure. Preferred technique from the surgeon's point of view is in favor of PIRS procedure. In addition, PIRS pro-cedure can be more protective for internal genitalia, but more studies with higher numbers and longer follow-up period are needed.
Identifiants
pubmed: 35990288
doi: 10.14744/SEMB.2021.59375
pii: SEMB-56-232
pmc: PMC9350064
doi:
Types de publication
Journal Article
Langues
eng
Pagination
232-237Informations de copyright
© Copyright 2022 by The Medical Bulletin of Sisli Etfal Hospital.
Déclaration de conflit d'intérêts
None declared.
Références
J Reprod Med. 1991 Mar;36(3):175-6
pubmed: 2030492
Chirurg. 1996 Mar;67(3):283-7
pubmed: 8681706
Surg Endosc. 2009 Aug;23(8):1706-12
pubmed: 19343444
Pediatr Surg Int. 2003 Sep;19(7):533-6
pubmed: 13680290
Sisli Etfal Hastan Tip Bul. 2019 Nov 26;53(4):430-432
pubmed: 32377121
Wideochir Inne Tech Maloinwazyjne. 2014 Mar;9(1):53-8
pubmed: 24729810
World J Surg. 2002 Jun;26(6):748-59
pubmed: 12053232
J Pediatr Surg. 2003 May;38(5):756-7
pubmed: 12720187
Ann Surg. 1930 Oct;92(4):754-60
pubmed: 17866415
J Pediatr Surg. 1998 Oct;33(10):1495-7
pubmed: 9802799
J Pediatr Surg. 2005 Jul;40(7):1177-80
pubmed: 16034766
Pediatr Surg Int. 2016 Jul;32(7):697-700
pubmed: 27270295
Surg Endosc. 2009 Jan;23(1):103-7
pubmed: 18528614
J Pediatr Surg. 1998 Jul;33(7):1099-102; discussion 1102-3
pubmed: 9694102
Fertil Steril. 2006 Jul;86(1):217-8
pubmed: 16756979
World J Surg. 1997 Feb;21(2):218-23
pubmed: 8995083
Langenbecks Arch Chir. 1997;382(5):252-6
pubmed: 9411171
Am J Surg. 1997 Dec;174(6):741-4
pubmed: 9409609
Sisli Etfal Hastan Tip Bul. 2021 Mar 17;55(1):108-114
pubmed: 33935544
Surg Endosc. 2007 Aug;21(8):1327-31
pubmed: 17356946
J Pediatr Surg. 2003 Jul;38(7):1055-8
pubmed: 12861538
J Laparoendosc Surg. 1992 Jun;2(3):135-40; discussion 141
pubmed: 1535806
Arch Gynecol Obstet. 2009 Feb;279(2):175-6
pubmed: 18437405