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Benefits of laparoscopic posterior wall suture repair in treating adolescent indirect inguinal hernias

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Abstract

Purpose

Adolescent inguinal hernias are treated using high ligation or posterior wall suture repair with laparoscopic mesh implantation. This study aimed to evaluate the efficacy of laparoscopic intracorporeal posterior wall suture repair without mesh implantation for treating adolescent indirect inguinal hernias.

Methods

Laparoscopic herniorrhaphy was performed between September 2012 and April 2015 in 244 patients aged 11–18 years who were diagnosed with indirect inguinal hernias at Damsoyu Hospital, Seoul, Korea. The patients were stratified by surgical procedure into the high-ligation (115 patients) and wall suture (129 patients) groups.

Results

Four (3.5%) of the 115 patients in the high-ligation group experienced recurrence, but those in the wall suture group did not. The difference in recurrence rates between these groups was significant (p < 0.001). The wall suture procedures were longer (mean 28.2 min) than the high-ligation procedures (mean 17.4 min) (p < 0.001). The lengths of postoperative hospital stays were similar in both groups. Few complications were observed: one patient developed hematoma and one developed seroma in the high-ligation group; two patients developed inguinal hematomas and one developed seroma in the wall suture group. Visual analog scale scores at 1 week after surgery and the mean times to return to normal activities were similar in both groups. No chronic inguinodynia after the operation in either group was observed.

Conclusions

Laparoscopic intracorporeal posterior wall suture repair without mesh implantation was effective for treating adolescent indirect inguinal hernias and resulted in fewer recurrences than those with high ligation.

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Funding

SRL has no financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, Damsoyu Hospital, Central Tower 5~9F, Bongeunsa-ro 213, Gangnam-gu, Seoul, Republic of Korea

    S. R. Lee

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  1. S. R. Lee
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Correspondence to S. R. Lee.

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Conflict of interest

SRL has no conflict of interest to disclose.

Ethical approval

This study was approved by the Institutional Review Board of Damsoyu Hospital.

Human and animal rights

All procedures performed in studies human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Lee, S.R. Benefits of laparoscopic posterior wall suture repair in treating adolescent indirect inguinal hernias. Hernia 22, 653–659 (2018). https://doi.org/10.1007/s10029-018-1745-9

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  • DOI: https://doi.org/10.1007/s10029-018-1745-9

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