Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A Prospective Study.

INTRODUCTION: The utilization of laparoscopic techniques in the management of inguinal hernias among pediatric patients has seen a rising trend. We aimed to assess the efficacy of laparoscopic excision of the hernial sac as a suitable approach for managing inguinal hernias specifically in female patients and conducted a prospective study to investigate this hypothesis. METHODS: Over a comprehensive four-year period, a total of 99 hernias in 69 female patients were surgically addressed using laparoscopic methods. The surgical procedure primarily involved the laparoscopic inversion and excision of the hernial sac without subsequent distal suturing. RESULTS: During the initial phase of the study, two cases encountered recurrences within 48 hours post-operation, potentially attributed to incomplete excision. However, in the subsequent period, no further recurrences were recorded. CONCLUSION: Our study findings support the contention that laparoscopic excision of the sac, without adjunctive closure of the peritoneum, suffices as an effective approach for managing inguinal hernias in female pediatric patients.

A Benign Rectal Polyp With Osseous Metaplasia: A Pediatric Case Report and Literature Review.

Osseous metaplasia is rarely detected in benign and malignant lesions in the gastrointestinal tract, especially in the pediatric population under the age of six. Here, we report the case of a four-year-old boy with a history of constipation associated with painless bleeding per rectum for six months which was excised successfully. Microscopically, there was osseous metaplasia with no malignant changes. Further reporting is needed due to the limited cases of osseous metaplasia in colorectal polyps, with unknown mechanisms of pathogenesis and prognostic factors, specifically in the pediatric population.