Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study.
10.13029/jkaps.2014.20.2.23
- Author:
Chang Hun LEE
1
;
Yoon Jung BOO
;
Eun Hee LEE
Author Information
1. Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea. drboo@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Inguinal hernia;
Child;
Laparoscopy;
Hernia repair
- MeSH:
Child*;
Cohort Studies*;
Follow-Up Studies;
Hernia*;
Hernia, Inguinal;
Herniorrhaphy;
Humans;
Informed Consent;
Inguinal Canal;
Laparoscopy;
Ligation*;
Lost to Follow-Up;
Prospective Studies;
Recurrence
- From:Journal of the Korean Association of Pediatric Surgeons
2014;20(2):23-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy. METHODS: Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated. RESULTS: The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period. CONCLUSION: The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.
