Abstract
Background
Laparoscopy is an alternative procedure for pediatric inguinal hernia; however, reported techniques necessitate two or three trocars and excellent intra-abdominal skills. This study was designed to describe and evaluate the preliminary result of one-trocar laparoscopic-assisted transperitoneal closure for inguinal hernia in children.
Methods
A total of 33 children with inguinal hernia (body weight range, 2270 g to 58 kg) were included in this study from March to November 2007. Under a 5-mm laparoscopic guidance, the hernia defect was enclosed by a nonabsorbable suture, which was introduced into the abdomen by an 18-gauge vascular access on one side of the hernia defect and withdrawn on the opposite side by a homemade hook-pin through a needle puncture wound. Then, extracorporeal knot tying was performed.
Results
A total of 52 procedures were performed, and the mean operating time was 46.2 ± 16.2 (range, 18–87) minutes. No cauterization was used during the operations and there was no serious operative morbidity. The mean follow-up period was 7.6 ± 2.5 (range, 4–12) months. No recurrence was observed during this period.
Conclusions
This easy technique provides the benefits of laparoscopic herniorrhaphy and combines the advantages derived from the novel use of a hook-pin and vascular access simplicity, low cost, safety, minimized tissue trauma, and improved cosmetics. In addition, only one umbilical trocar wound and another needle puncture point were made. Therefore, this procedure is recommended for pediatric inguinal hernia.
Similar content being viewed by others
References
Ozgediz D, Roayaie K, Lee H et al (2007) Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: report of a new technique and early results. Surg Endosc 21:1327–1331
Takehara H, Yakabe S, Kameoka K (2006) Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg 41:1999–2003
Oue T, Kubota A, Okuyama H et al (2005) Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls. Pediatr Surg Int 21:964–968
Prasad R, Lovvorn HN 3rd, Wadie GM et al (2003) Early experience with needleoscopic inguinal herniorrhaphy in children. J Pediatr Surg 38:1055–1058
Patkowski D, Czernik J, Chrzan R et al (2006) Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. J Laparoendosc Adv Surg Tech A 16:513–517
Ma CJ, Lu CY, Chen CW et al (2008) Preoperative localization of colonic tumors using transabdominal illumination of the colonoscope. Int J Colorectal Dis 32:213–214
Hsieh JS, Wu CF, Chen FM et al (2007) Simple laparoscopic gastrostomy using a homemade hook-pin. Endoscopy 39(S1):E226
Shalaby R, Desoky A (2002) Needlescopic inguinal hernia repair in children. Pediatr Surg Int 18:153–156
Shalaby R, Shams AM, Mohamed S et al (2007) Two-trocar needlescopic approach to incarcerated inguinal hernia in children. J Pediatr Surg 42:1259–1262
Schier F (2006) Laparoscopic inguinal hernia repair-a prospective personal series of 542 children. J Pediatr Surg 41:1081–1084
Shalaby RY, Fawy M, Soliman SM et al (2006) A new simplified technique for needlescopic inguinal herniorrhaphy in children. J Pediatr Surg 41:863–867
Schier F, Montupet P, Esposito C (2002) Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. J Pediatr Surg 37:395–397
Montupet P, Esposito C (1999) Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg 34:420–423
Chan KL, Chan HY, Tam PK (2007) Towards a near-zero recurrence rate in laparoscopic inguinal hernia repair for pediatric patients of all ages. J Pediatr Surg 42:1993–1997
Saranga Bharathi R, Arora M, Baskaran V (2008) Minimal access surgery of pediatric inguinal hernias: a review. Surg Endosc 22:1751–1762
Schier F (2006) Laparoscopic hernia repair: an option in babies weighing 5 kg or less. Pediatr Surg Int 22:1033
Tsai YC, Wu CC, Yang SS (2007) Minilaparoscopic herniorrhaphy with hernia sac transection in children and young adults: a preliminary report. Surg Endosc 21:1623–1625
Ein SH, Njere I, Ein A (2006) Six thousand three hundred sixty-one pediatric inguinal hernias: a 35-year review. J Pediatr Surg 41:980–986
Aasvang EK, Kehlet H (2007) Chronic pain after childhood groin hernia repair. J Pediatr Surg 42:1403–1408
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chang, YT., Wang, JY., Lee, JY. et al. One-Trocar Laparoscopic Transperitoneal Closure of Inguinal Hernia in Children. World J Surg 32, 2459–2463 (2008). https://doi.org/10.1007/s00268-008-9732-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00268-008-9732-4