Outcomes from a new modified single needle laparoscopic percutaneous extraperitoneal closure and cut off for pediatric inguinal hernia

作者全名：Zeng, Defeng; Pu, Changsheng; Guo, Chunbao; Kong, Xiangpan

作者地址：[Zeng, Defeng; Pu, Changsheng; Guo, Chunbao] Chongqing Med Univ, Dept Pediat, Women & Childrens Hosp, Chongqing, Peoples R China; [Zeng, Defeng; Pu, Changsheng; Guo, Chunbao] Chongqing Med Univ, Chongqing Hlth Ctr Women & Children, Dept Pediat Surg, Chongqing 400054, Peoples R China; [Kong, Xiangpan] Chongqing Med Univ, Childrens Hosp, Dept Pediat Surg, Chongqing, Peoples R China; [Kong, Xiangpan] Chongqing Med Univ, Childrens Hosp, Key Lab Child Dev & Disorders, Minist Educ, Chongqing, Peoples R China; [Kong, Xiangpan] Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Kong, Xiangpan] Chongqing Med Univ, Childrens Hosp, China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China

通信作者：Kong, XP (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Pediat Surg, Chongqing, Peoples R China.; Kong, XP (通讯作者)，Chongqing Med Univ, Childrens Hosp, Key Lab Child Dev & Disorders, Minist Educ, Chongqing, Peoples R China.; Kong, XP (通讯作者)，Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China.; Kong, XP (通讯作者)，Chongqing Med Univ, Childrens Hosp, China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China.

来源：SCIENTIFIC REPORTS

ESI学科分类：Multidisciplinary

WOS号：WOS:001232828400017

JCR分区：Q1

影响因子：3.8

年份：2024

卷号：14

期号：1

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结束页：　

文献类型：Article

关键词：Inguinal hernia; Pediatric; Patent processus vaginalis; Laparoscopic hernia repair; Minimally invasive surgery

摘要：Inguinal hernia is a prevalent surgical condition in pediatric patients. Despite the efficacy of current treatment modalities, a certain recurrence rate still persists. Hence, our objective in this study is to introduce an innovative surgical technique designed to minimize surgical complications. We conducted a retrospective analysis on 809 pediatric cases that underwent laparoscopic repair with our innovative technique for inguinal hernia from June 2020 to June 2022. Demographic information, perioperative details, and postoperative follow-up outcomes were thoroughly assessed. All surgeries were conducted laparoscopically under general anesthesia. The procedure commenced by encircling the hernia sac with two sutures under laparoscopic guidance. Subsequently, the sac was exteriorized from the body using the two sutures, followed by ligation and excision of the hernia sac. The research findings demonstrate that the duration of unilateral and bilateral procedures was recorded as 15.9 +/- 4.8 and 21.7 +/- 3.9 min, respectively. Incision infection occurred in 7 patients (0.87%), and Male Complicated Inguinal Hernia (MCIH) was observed in 2 patients (0.23%). Notably, there were no occurrences of iatrogenic cryptorchidism, testicular atrophy, or recurrence (0%) during the follow-up period. In conclusion, our novel modification shows a notable reduction in postoperative recurrence rates and alleviates the impact of the procedure on the positioning of the testis or uterus. This modified technique is both safe and valuable, thus warranting broader adoption and promotion.

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