Laparoscopic surgery in the treatment of incarcerated indirect inguinal hernia in children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

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Modified Marcy repair for indirect inguinal hernia in children: a 24-year single-center experience of 6826 pediatric patients

Surgery Today ◽

10.1007/s00595-016-1352-2 ◽

2016 ◽

Vol 47 (1) ◽

pp. 108-113 ◽

Cited By ~ 11

Author(s):

Zenon Pogorelić ◽

Marijana Rikalo ◽

Miro Jukić ◽

Josip Katić ◽

Ivo Jurić ◽

...

Keyword(s):

Inguinal Hernia ◽

Pediatric Patients ◽

Indirect Inguinal Hernia ◽

Single Center ◽

Single Center Experience ◽

Marcy Repair ◽

Inguinal Hernia In Children

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Manual Reduction of Incarcerated Inguinal Hernia in Children

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v32i3.6146 ◽

2013 ◽

Vol 32 (3) ◽

pp. 229-232

Author(s):

Bijay Thapa ◽

Madhusudan Pun

Keyword(s):

Inguinal Hernia ◽

Indirect Inguinal Hernia ◽

Female Ratio ◽

Incarcerated Inguinal Hernia ◽

Manual Reduction ◽

Undergo Emergency Surgery ◽

Hands On ◽

Resection And Anastomosis ◽

Male To Female ◽

Inguinal Hernia In Children

Introduction: Incarceration of an indirect inguinal hernia in children is an acute emergency and one of the common complications that may occur before herniotomy. Inguinal hernias rarely go away, and therefore, virtually all should be repaired at any age of presentation. Incarcerated inguinal hernia can be reduced successfully by manual reduction if performed by experienced hands on time. The objective of this study was to assess the safety and efficacy of manual reduction of incarcerated indirect inguinal hernia. Materials and Methods: Thirty six patients who attended Emergency Department of Kanti Children’s Hospital over 30 months period from January 2009 to July 2011 were studied prospectively. All patients were diagnosed case of inguinal hernia and waiting for elective herniotomy. Results: There were 30(83.33%) males and 6(16.66%) females, with male-to-female ratio of 5:1. Right sided inguinal hernia was 20(55.5%) and left 16(44.44%). The ages ranged from 1.5 months to 28 months with mean age of 15 months. Time of incarceration ranged from 3 hours to 30 hours. Manual reduction was successful in 30(83.33%). Remaining six had to undergo emergency surgery. Four patients with edematous but viable hernial contents had successful surgical reduction. Two patients with gangrenous small bowel loops had bowel resection and anastomosis. Conclusion: Manual reduction is safe and effective when performed timely. Herniotomy should be done without delay once diagnosed to avoid unnecessary complications. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6146 J. Nepal Paediatr. SocVol.32(3) 2012 229-232

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Reasons for Recurrence After the Laparoscopic Repair of Indirect Inguinal Hernia in Children

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2014.0401 ◽

2015 ◽

Vol 25 (8) ◽

pp. 681-683 ◽

Cited By ~ 14

Author(s):

Bo Xiang ◽

Shuguang Jin ◽

Lin Zhong ◽

Fuyu Li ◽

Xiaoping Jiang ◽

...

Keyword(s):

Inguinal Hernia ◽

Laparoscopic Repair ◽

Indirect Inguinal Hernia ◽

Inguinal Hernia In Children

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Laparoscopic Repair of Indirect Inguinal Hernia in Children: Does Partial Resection of the Sac Make Any Impact on Outcome?

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2011.0259 ◽

2012 ◽

Vol 22 (3) ◽

pp. 290-294 ◽

Cited By ~ 7

Author(s):

Nitinkumar B. Borkar ◽

Nitin Pant ◽

Simmi Ratan ◽

Satish K. Aggarwal

Keyword(s):

Inguinal Hernia ◽

Laparoscopic Repair ◽

Partial Resection ◽

Indirect Inguinal Hernia ◽

Inguinal Hernia In Children

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Laparoscopic Approach to Incarcerated/Sliding Indirect Inguinal Hernia in Children in Comparison with Open Approach

Inguinal Hernia ◽

10.5772/58285 ◽

2014 ◽

Author(s):

Masao Endo ◽

Michinobu Ohno ◽

Fumiko Yoshida ◽

Miwako Nakano ◽

Toshihiko Watanabe ◽

...

Keyword(s):

Inguinal Hernia ◽

Laparoscopic Approach ◽

Indirect Inguinal Hernia ◽

Open Approach ◽

Inguinal Hernia In Children

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Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery

Journal of Healthcare Engineering ◽

10.1155/2022/2978745 ◽

2022 ◽

Vol 2022 ◽

pp. 1-7

Author(s):

Yuan Cao ◽

Zhaozheng Ding ◽

Hongjia Qiang

Keyword(s):

Inguinal Hernia ◽

Laparoscopic Surgery ◽

Protective Factors ◽

Influencing Factors ◽

Univariate Analysis ◽

Postoperative Recurrence ◽

High Ligation ◽

Indirect Inguinal Hernia ◽

Back Wall ◽

Bilateral Lesions

This paper aims to analyze the recurrence of indirect inguinal hernia in children after laparoscopic surgery and investigate the influencing factors that may lead to recurrence so as to guide the prevention and treatment of postoperative recurrence of this kind of disease in the future. The data of 260 children with indirect inguinal hernia treated by laparoscopic surgery and followed up in our hospital from July 2019 to July 2021 were selected. A self-designed questionnaire was used to collect the basic data. The recurrence was analyzed, and the influencing factors of recurrence were analyzed by univariate analysis and multivariate analysis. Among 400 children after indirect inguinal hernia laparoscopic surgery, an occurrence was observed in 15 children, and the recurrence rate was 5.77%. Univariate analysis showed that the age and course of disease were not correlated with recurrence after indirect inguinal hernia laparoscopic surgery ( P > 0.05 ). Being male, bilateral lesions, exact high ligation, loose hernia back wall peritoneum, deciduous ligature, incorrect ligation of the fascia of musculus obliquus externus abdominis, large inguinal hernia, circumferential wiring, and too early off-bed activity were the influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery ( P < 0.05 ). Logistic multivariate regression analysis showed that being male, bilateral lesions, loose hernia back wall peritoneum, deciduous ligature, incorrect ligation of the fascia of musculus obliquus externus abdominis, large inguinal hernia, and too early off-bed activity were the influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery (OR>1, P < 0.05 ). Exact high ligation and circumferential wiring were protective factors of recurrence after indirect inguinal hernia laparoscopic surgery (OR>1, P < 0.05 ). After indirect inguinal hernia laparoscopic surgery, recurrences were affected by many factors, such as gender, site of pathological changes, and loose hernia back wall peritoneum. For these children with risk factors, reasonable intervention should be taken to reduce recurrence; exact high ligation and circumferential wiring are the protective factors. If permitted, the children meeting related indications can be treated by high ligation or circumferential wiring to reduce the risk of recurrence after indirect inguinal hernia laparoscopic surgery.

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