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Laparoscopic flip-flap hernioplasty: an innovative technique for pediatric hernia surgery

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Abstract

Background

Laparoscopic hernia repair is especially advantageous for bilateral or recurrent diseases in children because it avoids vas injury. However, it is more technically demanding, and the recurrent rate has been higher than with the open method. The authors developed a method of laparoscopic hernia repair that is easy and secure.

Methods

The hernia opening was repaired with a peritoneal flip-flap anchored with a single tension-free intracorporeal suture. The vas and testicular vessel were completely untouched. The valve mechanism of the flip-flap helped to avoid scrotal collection and prevent hernia recurrence.

Results

In 32 patients ages 1 month to 17 years 43 repairs were performed. The early result was promising, and no recurrence was noticed in a median follow-up period of 4 months.

Conclusions

Laparoscopic flip-flap hernioplasty is easy to perform and has a number of theoretical advantages, although the long-term result still needs to be evaluated.

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Authors and Affiliations

  1. Department of Surgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR China

    K. F. Yip & M. K. W. Li

  2. Division of Paediatric Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, 102 Pok Fu Lam Road, Hong Kong SAR China

    P. K. H. Tam

Authors
  1. K. F. Yip
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  2. P. K. H. Tam
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  3. M. K. W. Li
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Corresponding author

Correspondence to M. K. W. Li.

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Yip, K.F., Tam, P.K.H. & Li, M.K.W. Laparoscopic flip-flap hernioplasty: an innovative technique for pediatric hernia surgery. Surg Endosc 18, 1126–1129 (2004). https://doi.org/10.1007/s00464-003-9155-0

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  • DOI: https://doi.org/10.1007/s00464-003-9155-0

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