Single-site laparoscopic percutaneous extraperitoneal closure (SLPEC) of hernia sac high ligation using an ordinary taper needle: a novel technique for pediatric inguinal hernia

To investigate the development and current status of the treatment of pediatric indirect inguinal hernia. Inguinal hernias include indirect hernias and direct inguinal hernias, but there are almost indirect inguinal hernias in children . Pediatric indirect inguinal hernia that the most common disease in pediatric surgery is almost caused by patent processus vaginali which incidence ranges from 0.8% to 4.4%.The treatment of pediatric indirect inguinal hernia reflects the process of pediatric surgery development, which from conservative non-surgical treatment to high ligation of the longitudinal incision hernia sac. In recent years, with the continuous improvement of medical level in China, laparoscopic technique has been applied in hospitals all over China, and laparoscopic high ligation of indirect inguinal hernia sac has become the standard for the treatment of pediatric indirect inguinal hernia.

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Two-center Analysis of Long-term Outcomes after High Ligation Inguinal Hernia Repair in Adolescents

The American Surgeon ◽

10.1177/000313481508101229 ◽

2015 ◽

Vol 81 (12) ◽

pp. 1260-1262 ◽

Cited By ~ 4

Author(s):

Alessandra C. Gasior ◽

E. Marty Knott ◽

Arielle Ranters ◽

Shawn D. Peter ◽

Todd A. Ponsky

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Recurrent Hernia ◽

High Ligation ◽

Long Term Outcomes ◽

Recurrence Rates ◽

Hernia Sac ◽

Telephone Surveys ◽

Low Incidence

High ligation of the inguinal hernia sac is standard practice for many pediatric surgeons in post-pubertal adolescents. Most adult surgeons do not use this technique to repair indirect inguinal hernias because of concerns for higher recurrence rates compared with mesh repairs. Therefore, we examined long-term outcomes of adolescent high ligation hernia repair performed by pediatric surgeons. Telephone surveys were conducted on children over 12 years old at the time of repair, and patients and/or their parents were contacted 18 months postrepair. Patients were identified from two institutions between 1998 and 2010. The incidences of reoperation, recurrence, presence of bulge, chronic pain, or numbness were determined. A total of 210 patients (40.7% response rate) were available for phone interviews at 18.6 to 159.5 months postrepair. Mean age was 14.6 ± 1.8 (range: 12.0–19.0 years). Fourteen patients had pain (6.7%) and five had numbness (2.4%). There were four (1.9%) patients with a second operation, two of which confirmed a recurrent hernia. Three patients expressed concern about possible recurrence. Two report a bulge, but have not been evaluated. Pediatric hernia repair with high sac ligation appears effective in patients anatomically similar to adults with low recurrence rate and low incidence of chronic symptoms. These data suggest that prospective trials on the adequacy of high ligation in adults are warranted.

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The pathological evaluation of the pediatric inguinal hernia sac

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(98)90195-6 ◽

1998 ◽

Vol 33 (5) ◽

pp. 717-718 ◽

Cited By ~ 20

Author(s):

William J Wenner ◽

Marta Gutenberg ◽

Timothy Crombleholme ◽

Cory Flickinger ◽

Scott P Bartlett

Keyword(s):

Inguinal Hernia ◽

Hernia Sac ◽

Pediatric Inguinal Hernia ◽

Pathological Evaluation

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Single-site Laparoscopic High Ligation of the Extraperitoneal Hernia Sac with an Epidural Needle for Incarcerated Ovarian Hernia in Infants

10.21203/rs.3.rs-347452/v1 ◽

2021 ◽

Author(s):

Yunjin Wang ◽

Liu Chen ◽

Qiliang Zhang ◽

Jianqin Zhang ◽

Xu Cui ◽

...

Keyword(s):

Young Children ◽

Single Site ◽

Epidural Needle ◽

High Ligation ◽

Bladder Injury ◽

Hernia Sac ◽

Umbilical Incision ◽

Minimal Trauma ◽

Good Cosmetic ◽

Infants And Young Children

Abstract Background: The purpose of this study was to evaluate the safety and efficacy of single-site laparoscopic extraperitoneal hernia sac ligation with an epidural needle for incarcerated ovarian hernia in infants and young children.Methods: The clinical data of 38 infants with incarcerated ovarian hernia who underwent single-site laparoscopic extradural needle extraperitoneal hernia sac ligation from January 2015 to January 2018 were retrospectively analysed.Results: All procedures were successfully performed in laparoscopy with no need for conversions to open surgery. All patients were discharged 1-2 days after the operation. During hospitalization and follow-up, there were no complications, such as intestinal or bladder injury, abdominal wall vascular injury, ovarian atrophy, hernia recurrence and contralateral indirect hernia. However, three patients had complications, including two cases of poor healing of the umbilical incision and one case of suture granuloma. Conclusions: Single-site laparoscopic high ligation of the extraperitoneal hernia sac with an epidural needle is a safe and feasible method for the treatment of incarcerated ovarian hernia in infants and young children. It has the advantages of minimal trauma, no scarring and good cosmetic effects.

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To the casuistry of inguinal and femoral hernias with unusual contents

Kazan medical journal ◽

10.17816/kazmj76249 ◽

1934 ◽

Vol 30 (7-8) ◽

pp. 788-788

Author(s):

К. W. Helmstaedt

Keyword(s):

Inguinal Hernia ◽

Hernia Sac ◽

Pediatric Inguinal Hernia

The author cites 6 cases of unusual findings in the hernia sac: Mesquel's diverticulum in the hernia sac, appendicitis in the hernia sac, appendicitis with empyema of the hernia sac with concurrent right-sided inguinal hernia, encapsulated hemorrhage in the hernia sac, ovary and tube prolapse in a pediatric inguinal hernia.

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Reduced Postoperative Pain after Inguinal Hernia Repair with Absorbable String in Children

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.618.401 ◽

2014 ◽

Vol 618 ◽

pp. 401-404

Author(s):

Chuan Zhang ◽

Chun Yu Dong ◽

Xue Song Zhao ◽

Ji Xue Zhao ◽

Dan Dang ◽

...

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Blood Loss ◽

Operation Time ◽

Postoperative Hospital Stay ◽

High Ligation ◽

Absorbable Suture ◽

Intraoperative Blood Loss ◽

Hernia Sac ◽

The Mean

Object: To investigate effects of the high ligation of hernia sac with absorbable string for children with indirect inguinal hernia. Method: A retrospective analysis of 92 patients with inguinal hernia who underwent the high ligation of hernia sac was conducted in the present study, in which 20 cases underwent the high ligation of hernia sac with absorbable string while 72 cases treated with the high ligation of hernia sac with non-absorbable suture. The mean operation time, mean intraoperative blood loss and average postoperative hospital stay and postoperative pain rating were analyzed. Results: Though no statistical difference existed in the mean operation time, mean intraoperative blood loss, average postoperative hospital stay between the two groups (P>0.05). However, the postoperative pain in the high ligation of hernia sac with absorbable string group was significantly lower than that of the non-absorbable group. Conclusion: Compared with that of the high ligation of hernia sac with non-absorbable string, there is lower grade postoperative pain in the high ligation with absorbable suture.

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