Sutureless inguinal hernia repair with creation of a peritoneal lesion in children: a novel laparoscopic technique with a low recurrence rate
Por:
Galvan Montano, Alfonso, Ouddane Robles, Paul Manuel Ali, Garcia Moreno, Silvia
Publicada:
1 feb 2018
Categoría:
Surgery
Resumen:
Background Hernia repair represents about 25% of all pediatric
surgeries. Repair can be done using an open or laparoscopic technique.
The open approach has a reported recurrence rate of 1.2% but requires
an additional incision to repair for a contralateral hernia. With the
laparoscopic approach, no additional incision is needed but the
recurrence rate has been reported to be as high as 4%. The objective of
this study was to assess the safety and efficacy of a novel sutureless
laparoscopic inguinal hernia repair that has the advantages of both
approaches.
Methods Since April 2014 up to March 2017, 26 children (12 girls and 14
boys) aged 3 months to 13 years underwent sutureless laparoscopic
inguinal hernia repair. The peritoneum around the internal inguinal ring
was severed and folded into the inguinal canal. Regeneration of the
peritoneum around the inguinal ring creates a scar that effectively
closes the internal orifice.
Results No recurrences or complications were observed in any of the 26
cases after a follow-up of 1-35 months (median, 14 months).
Conclusions Sutureless laparoscopic inguinal hernia repair provides a
new option for the management of patients with a pediatric inguinal
hernia. The procedure does not require advanced laparoscopic skills, is
easily reproducible, and is safe.
Therapeutic study Level of Evidence IV
Filiaciones:
Galvan Montano, Alfonso:
Hosp Gen Dr Manuel Gea Gonzalez, Pediat Surg Dept, Av Calzada Tlalpan 4800,Col Secc 26, Mexico City 14080, DF, Mexico
Ouddane Robles, Paul Manuel Ali:
Univ Nacl Autonoma Mexico, Gen Surg Dept, Hosp Gen Dr Manuel Gea Gonzalez, Av Calzada Tlalpan 4800,Col Secc 26, Mexico City 14080, DF, Mexico
Garcia Moreno, Silvia:
Hosp Gen Dr Manuel Gea Gonzalez, Res Dept, Av Calzada Tlalpan 4800,Col Secc 26, Mexico City 14080, DF, Mexico
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