scholarly journals Technical Refinements in Single-Port Laparoscopic Surgery of Inguinal Hernia in Infants and Children

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Yu-Tang Chang
Keyword(s):  
Inguinal Hernia ◽  
Single Port ◽  
Hernia Recurrence ◽  
Pediatric Inguinal Hernia ◽  
Hernia Defect ◽  
The Past ◽  
Subcutaneous Tissues ◽  
Ultimate Attainment ◽  
Access Surgery ◽  
In Infants And Children

The techniques of minimal access surgery for pediatric inguinal hernia are numerous and they continue to evolve, with a trend toward increasing use of extracorporeal knotting and decreasing use of working ports and endoscopic instruments. Single-port endoscopic-assisted percutaneous extraperitoneal closure seems to be the ultimate attainment, and numerous techniques have mushroomed in the past decade. This article comprehensively reviews and compares the various single-port techniques. These techniques mainly vary in their approaches to the hernia defect with different devices, which are designed to pass a suture to enclose the orifice of the defect. However, most of these emerging techniques fail to entirely enclose the hernia defect and have the potential to lead to higher incidence of hernia recurrence. Accompanying preperitoneal hydrodissection and keeping identical subcutaneous path for introducing and withdrawing the suture, the suture could tautly enclose the hernia defect without upper subcutaneous tissues and a lower peritoneal gap, and a trend towards achieving a near-zero recurrence rate.

scholarly journals FIRST SINGLE-PORT LAPAROSCOPIC PANCREATECTOMY IN BRAZIL

2013 ◽  
Vol 50 (4) ◽  
pp. 310-312 ◽  
Author(s):  
Marcel Autran Cesar MACHADO ◽  
Rodrigo Cañada Trofo SURJAN ◽  
Fábio Ferrari MAKDISSI
Keyword(s):  
Distal Pancreatectomy ◽  
Single Incision ◽  
Single Port ◽  
Laparoscopic Approach ◽  
Surgical Trauma ◽  
Spleen Preserving ◽  
Novel Technique ◽  
The Past ◽  
Advanced Access ◽  
Access Surgery

ContextPancreatic surgery is an extremely challenging field, and the management of pancreatic diseases continues to evolve. In the past decade, minimal access surgery is moving towards minimizing the surgical trauma by reducing numbers and size of the port. In the last few years, a novel technique with a single-incision laparoscopic approach has been described for several laparoscopic procedures.ObjectivesWe present a single-port laparoscopic spleen-preserving distal pancreatectomy. To our knowledge, this is the first single-port pancreatic resection in Brazil and Latin America.MethodsA 33-year-old woman with neuroendocrine tumor underwent spleen-preserving distal pancreatectomy via single-port approach. A single-incision advanced access platform with gelatin cap, self-retaining sleeve and wound protector was used.ResultsOperative time was 174 minutes. Blood loss was minimal, and the patient did not receive a transfusion. The recovery was uneventful, and the patient was discharged on postoperative day 4.ConclusionsSingle-port laparoscopic spleen-preserving distal pancreatectomy is feasible and can be safely performed in specialized centers by skilled laparoscopic surgeons.

scholarly journals Comparison of Laparoscope-Assisted Single-Needle Laparoscopic Percutaneous Extraperitoneal Closure versus Open Repair for Pediatric Inguinal Hernia

2021 ◽  
Author(s):  
Shaofeng Wu ◽  
Xiaoyu Xing ◽  
Rong He ◽  
Haiteng Zhao ◽  
Liang Zhong ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Open Repair ◽  
Operating Time ◽  
Laparoscopic Approach ◽  
Bilateral Hernia ◽  
Pediatric Inguinal Hernia ◽  
The Past ◽  
Attractive Option ◽  
Contralateral Inguinal Hernia

Abstract Background: Laparoscopic repairs have gained gradual acceptance in pediatric inguinal hernia over the past decade. However, consensus about the optimal management is still lacking. The aim of this study is to present a modified single-needle laparoscopic approach with the assistance of a laparoscope and to evaluate the surgical outcomes in comparison with traditional open repair method. Materials and Methods: We retrospectively reviewed the medical data of children who underwent laparoscope-assisted single-needle laparoscopic percutaneous extraperitoneal closure (LPEC) and open repair (OR) for inguinal hernia from 2014 to 2019. Data were reviewed and analyzed with respect to the operating time, the incidence of metachronous contralateral inguinal hernia (MCIH), recurrence, and other complications. Results: In our cohort, 961 patients in the OR group and 1098 patients in the LPEC group were analyzed retrospectively. Mean operative time was significantly shorter in the LPEC group (22.3±3.5 min) than in the OR group (27.8±5.9 min) for bilateral hernia repair (p<0.001). Iatrogenic cryptorchidism occurred statistically more frequently in the OR group than in the LPEC group (0.4% vs. 0%, p=0.013). In addition, the incidence of MCIH was 3.7% (33/887) in the OR group and 0.3% (3/1014) in the LPEC group (p<0.01). Conclusion: Based on the current outcomes, laparoscope-assisted single-needle LPEC provides a simple and attractive option for the administration of pediatric patients with inguinal hernia/hydrocele to reduce the MCIH.

scholarly journals Our Laparoscopic Surgical technique and experience in treating pediatric inguinal hernia over the past decade

2020 ◽  
Vol 25 (1) ◽  
pp. 28
Author(s):  
Dheidan Alshammari ◽  
Marina Sica ◽  
Isabelle Talon ◽  
Isabelle Kauffmann ◽  
Raphael Moog ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Surgical Technique ◽  
Pediatric Inguinal Hernia ◽  
The Past

Laparoscopy is increasingly used for pediatric inguinal hernia repair

2021 ◽  
Author(s):  
Matthew P. Shaughnessy ◽  
Nathan L. Maassel ◽  
Nicholas Yung ◽  
Daniel G. Solomon ◽  
Robert A. Cowles
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pediatric Inguinal Hernia
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