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A Modified Approach for Inguinal Hernias in Children: Hybrid Single-Incision Laparoscopic Intraperitoneal Ligation.
Li, Shuai; Tang, Shao-tao; Aubdoollah, Tajammool Hussein; Li, Shiwang; Li, Kang; Tong, Qiang-song; Wang, Yong; Mao, Yong-zhong; Cao, Guoqing; Yang, Li; Pu, Jiarui; Mei, Hong; Wang, Xinxing; Yang, Jun.
Afiliación
  • Li S; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Tang ST; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Aubdoollah TH; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Li S; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Li K; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Tong QS; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Wang Y; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Mao YZ; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Cao G; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Yang L; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Pu J; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Mei H; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Wang X; 1 Department of Pediatric Surgery, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China .
  • Yang J; 2 Department of General Surgery, Wu Han Children's Hospital , Wuhan, China .
J Laparoendosc Adv Surg Tech A ; 25(8): 689-93, 2015 Aug.
Article en En | MEDLINE | ID: mdl-26090943
ABSTRACT

PURPOSE:

To report a laparoscopic approach for pediatric inguinal hernia repair using a hybrid single-incision laparoscopic (H-SIL) technique and its clinical outcomes. MATERIALS AND

METHODS:

A retrospective study was carried out in inguinal hernia cases treated with the new H-SIL approach using intracorporeal jumping purse-string sutures. The operative time, length of postoperative hospital stay, efficiency of the operation, and complications were analyzed.

RESULTS:

In total, 157 inguinal high ligations were performed in 106 children (89 boys, 17 girls). The median age was 1.5 years (range, 25 days-11.6 years). The mean operative time was 15.8±3.4 minutes for the single-side procedure and 20.3±2.5 minutes for bilateral procedures. The mean postoperative hospital stay was 0.99±0.52 (range, 0.25-3 days). No postoperative bleeding, abdominal wall emphysema, abdominal viscera injury, or scrotal edema was found, and there were no known cases of postoperative testicular atrophy or hypotrophy. Ninety-three percent of the patients became fully mobile on the first postsurgical day. The median follow-up period was 17 months (range, 9-21 months), with no recurrence, no visible scars on the abdominal wall, and no foreign body felt in the inguinal region.

CONCLUSIONS:

This H-SIL approach is a safe and efficient method for pediatric inguinal hernia repair. The maneuverability is the same as that in the triport laparoscopic technique, and the cosmetic results are similar to those of single-port laparoscopic surgery.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Laparoscopía / Herniorrafia / Hernia Inguinal Tipo de estudio: Observational_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2015 Tipo del documento: Article País de afiliación: China

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Laparoscopía / Herniorrafia / Hernia Inguinal Tipo de estudio: Observational_studies Límite: Child / Child, preschool / Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2015 Tipo del documento: Article País de afiliación: China