Modifications of surgical techniques in laparoscopic percutaneous extraperitoneal closure of inguinal ring for childhood inguinal hernia to achieve zero recurrence and zero subcutaneous stitch granuloma.
Humans
Hernia, Inguinal
/ surgery
Laparoscopy
/ methods
Child
Infant
Male
Child, Preschool
Adolescent
Recurrence
Female
Suture Techniques
Herniorrhaphy
/ methods
Granuloma
/ surgery
Prospective Studies
Treatment Outcome
Retrospective Studies
Inguinal Canal
/ surgery
Postoperative Complications
/ prevention & control
Peritoneum
/ surgery
Children
Inguinal hernia
Laparoscopic percutaneous extraperitoneal closure
Recurrence
Subcutaneous stitch granuloma
Journal
Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169
Informations de publication
Date de publication:
13 Jul 2024
13 Jul 2024
Historique:
accepted:
06
07
2024
medline:
14
7
2024
pubmed:
14
7
2024
entrez:
13
7
2024
Statut:
epublish
Résumé
To present our technical modifications of single incision laparoscopic percutaneous extraperitoneal closure (SILPEC) of the internal inguinal ring (IIR) for pediatric inguinal hernia (PIH). The prospectively collected data of all children diagnosed with PIH undergoing SILPEC at our center from 2016 to 2023 were reviewed and divided into two groups for result comparison: Group A: before and Group B: after the implementation of full modifications. Our modifications included using a nonabsorbable monofilament suture, creating a peritoneal thermal injury at the internal inguinal ring (IIR), employing a cannula to ensure the suture at the IIR ligates only the peritoneum, and double ligation of the IIR in selected cases. 1755 patients in group A and in group B (1 month to 14 years old) were enrolled. There were no significant differences regarding baseline patient characteristics between the two groups. At a median follow-up of 40 months, the rate of recurrent CIH and subcutaneous stitch granuloma (SSG) was 2.3% and 1.5% in group A vs. 0% and 0% in group B (p < 0.001). There were no hydroceles, no ascended or atrophic testis. Our SILPEC technical modifications can achieve zero recurrence and zero SSG for PIH.
Identifiants
pubmed: 39003422
doi: 10.1007/s00383-024-05779-w
pii: 10.1007/s00383-024-05779-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
187Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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