Laparoscopic assisted percutaneous internal ring suturing for inguinal hernia repair in pediatrics

2020 ◽  
Vol 2 (3) ◽  
pp. 145-152
Author(s):  
Mohamed Ali Shehata
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Internal Ring ◽  
Laparoscopic Assisted

Needlescopic assisted internal ring suturing; a novel application of low-cost home-made instruments for pediatric inguinal hernia repair

Hernia ◽  
2019 ◽  
Vol 23 (6) ◽  
pp. 1279-1289 ◽  
Author(s):  
R. Shalaby ◽  
A. Elsaied ◽  
S. Shehata ◽  
Sh. Shehata ◽  
A. Hamed ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Low Cost ◽  
Internal Ring ◽  
Pediatric Inguinal Hernia

Percutaneous Internal Ring Suturing: A Simple Minimally Invasive Technique for Inguinal Hernia Repair in Children

2006 ◽  
Vol 16 (5) ◽  
pp. 513-517 ◽  
Author(s):  
Dariusz Patkowski ◽  
Jerzy Czernik ◽  
Rafalł Chrzan ◽  
Wojciech Jaworski ◽  
Wojciech Apoznański
Keyword(s):  
Inguinal Hernia ◽  
Minimally Invasive ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Internal Ring

scholarly journals The Operative Time for Unilateral Inguinal Hernia Repair in Children Performed with Percutaneous Internal Ring Suturing (PIRS) or Open Approach Method

2021 ◽  
Vol 10 (6) ◽  
pp. 1293
Author(s):  
Przemyslaw Karol Wolak ◽  
Agnieszka Strzelecka ◽  
Aneta Piotrowska ◽  
Katarzyna Dąbrowska ◽  
Piotr Przemysław Wolak ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Retrospective Chart Review ◽  
Open Approach ◽  
Internal Ring ◽  
Patients Âgés ◽  
Unilateral Inguinal Hernia ◽  
Approach Method

In this study, we compared the operative time for unilateral inguinal hernia repair in children performed with either an open approach (OA) or the Percutaneous Internal Ring Suturing (PIRS) method. It was a retrospective chart review of all patients ages 0 to 18 who underwent unilateral inguinal hernia repair in the Department of Pediatric Surgery, Urology and Traumatology of the Regional Hospital in Kielce between January 2011 and December 2018. Patients with bilateral hernias or additional problems were excluded. Of 878 patients qualified for the study, 701 were in the OA group and 177 in the PIRS group. Overall, the time needed to complete the procedure was significantly longer for the OA method. The operative time was longer if the hernia was left-sided (p = 0.024). Analysis by gender showed that operative time was generally longer in males. For both genders, surgery was shorter if the PIRS method was used. For males in the PIRS group the operative time was affected by the location of the hernia, and it was longer for a left-sided hernia. The take-home message is that the PIRS procedure is faster than the OA for inguinal hernia repair in children and it might be considered as a preferred method, especially in females.

scholarly journals CHALLENGES TO THE 10 GOLDEN RULES FOR A SAFE MINIMALLY INVASIVE SURGERY (MIS) INGUINAL HERNIA REPAIR: CAN WE IMPROVE?

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Christiano CLAUS ◽  
Leandro Totti CAVAZOLLA ◽  
Marcelo FURTADO ◽  
Flavio MALCHER ◽  
Edward FELIX
Keyword(s):  
Minimally Invasive Surgery ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Distal Part ◽  
Internal Ring ◽  
Ongoing Debate ◽  
Technical Principles ◽  
Safe Performance

ABSTRACT Background: Since publication of our paper “Ten Golden Rules for a Safe MIS Inguinal Hernia Repair” we have received many questions. As the authors, we feel it is important to address these topics as a follow-up to our paper. Aim: To discuss in more details the main points of controversy, review the rules and update de recommendations. Method: The questions and discussions came mainly over five rules, numbered 3, 5, 6, 7, 10. We analyzed all the comments about recommendations and update some technical principles. Results: Rule 3 - Removing normal fat plugs from the obturator canal is unnecessary and therefore is not recommended; Rule 5 - transection of the uterine round ligament (1 cm proximal to the deep ring) facilitates adequate dissection. When performed in this way it does not appear to be associated with complications; Rule 6 - transection of huge sacs are safer than over-dissection of the cord structures. Whether dissecting completely the sac or abandon the distal part it results in less postoperative seromas is an ongoing debate; Rule 7 - any retroperitoneal structure traversing the internal ring is or play a role like a hernia. Failing to identify and remove the lipoma will ultimately result in the patient experiencing a recurrence; Rule 10 - in TAPP peritoneum should preferably be closed with suture than tackes. Conclusion: 10 Golden Rules emphasize the most important surgical tips and technical steps that allow the safe performance of MIS repairs of inguinal hernias, regardless the technique.

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