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Single-Site Laparoscopic Percutaneous Extraperitoneal Closure (SLPEC) of the Internal Ring Using a Homemade Sled Needle

  • Surgical Techniques and Innovations
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Multiple laparoscopic pediatric herniorrhaphy techniques have been reported for the treatment of pediatric inguinal hernia (PIH) in the past three decades. These operations are becoming more manageable, showing a trend toward increasing use of extracorporeal knotting and decreasing use of working ports. We have developed our own technique termed single-site laparoscopic percutaneous extraperitoneal closure (SLPEC) of the internal ring using a homemade sled needle. This study included children who underwent laparoscopic surgery for treatment of indirect PIHs from January 2019 to May 2020. All patients underwent high ligation surgery with a modified single-site laparoscopic technique mainly performed by extracorporeal suturing with our homemade sled needle. The patients’ historical clinical data were analyzed. In total, 220 children were enrolled in this study. Among them, 200 and 20 were preoperatively diagnosed with unilateral and bilateral PIHs, respectively. All operations were successfully performed by the first author. The mean operation time was 10.1 min (range, 8–15 min) for unilateral hernias and 17.3 min (range, 13–22 min) for bilateral hernias. The mean postoperative stay was 21 h. During the mean follow-up period of 1 year, only one case of recurrence was noted. No patients developed major complications. No obvious scar was present postoperatively. Modified SLPEC of the internal ring utilizing a homemade sled needle is a safe and feasible alternative treatment for PIH. It has the advantages of minimal invasiveness, rapid recuperation, low recurrence, and low cost and is worthy of popularization in the clinical setting.

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Acknowledgements

We thank Angela Morben, DVM, ELS, from Liwen Bianji, Edanz Editing China (www.liwenbianji.cn/ac), for editing the English text of a draft of this manuscript.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Fuyang Women and Children’s Hospital, Fuyang, 236000, China

    Chun Luo, Zemeng Duan, Kelei Shang & Xiaoguang Tan

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  1. Chun Luo
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  2. Zemeng Duan
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  3. Kelei Shang
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  4. Xiaoguang Tan
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Correspondence to Chun Luo.

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This study was approved by the institutional ethical review boards of all involved hospitals.

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The authors declare no competing interests.

Statement of Human and Animal Rights

All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional review board/international ethics committee for each center and with the 1964 Helsinki declaration and its later amendments. This article does not contain any studies with animals performed by any of the authors.

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All patients provided informed consent preoperatively.

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Luo, C., Duan, Z., Shang, K. et al. Single-Site Laparoscopic Percutaneous Extraperitoneal Closure (SLPEC) of the Internal Ring Using a Homemade Sled Needle. Indian J Surg (2021). https://doi.org/10.1007/s12262-021-02920-0

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