Skip to main content
SpringerLink
Log in

Minilaparoscopic herniorrhaphy with hernia sac transection in children and young adults: a preliminary report

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

We designed a technique of pure minilaparoscopic hernia sac transaction and ligation to repair primary inguinal hernias in children and young adults.

Methods

Between September 2003 and December 2004, 83 patients with primary inguinal hernia were treated surgically with minilaparoscopic herniorrhaphy. The mean patient age was 6.8 years. Before the operation there were synchronous bilateral hernias in 2 (2.4%) patients, left inguinal hernias in 39 (47%) patients, and right inguinal hernias in 42 (50.6%) patients. The minilaparoscopic herniorrhaphy was carried out with the 3-mm laparoscopic and hand instrument system. Three 3.5-mm trocar ports were used for the telescope and 3-mm instruments. The peritoneum overlying the internal ring was circumferentially incised, then the peritoneal defect was closed with intracorporeal sutures.

Results

One hundred and fourteen minilaparoscopic herniorrhaphies were performed. The mean followup period was 12.9 months. The mean operation time was 52 min. There was only one recurrence (1.2%) that was detected nine months after primary repair. All patients were able to return to unrestricted activity immediately and were discharged within 24 h after the operation. There was no reported case of testicular atrophy to date.

Conclusions

Minilaparoscopic herniorrhaphy with hernia sac transaction is a safe and effective technique in children and young adults with indirect inguinal hernias.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.

Similar content being viewed by others

References

  1. Bock JE, Sobye JV (1970) Frequency of contralateral inguinal hernia in children—a study of the indications for bilateral herniotomy in children with unilateral hernia. Acta Chir Scand 136: 707–719

    PubMed  CAS  Google Scholar 

  2. Chan KL, Tam PK (2003) A safe laparoscopic technique for the repair of inguinal hernias in boys. J Am Coll Surg 196: 987–989

    Article  PubMed  Google Scholar 

  3. Chan KL, Tam PK (2004) Technical refinements in laparoscopic repair of childhood inguinal hernias. Surg Endosc 18: 957–960

    Article  PubMed  CAS  Google Scholar 

  4. Gorsler CM, Schier F (2003) Laparoscopic herniorrhaphy in children. Surg Endosc 17: 571–573

    Article  PubMed  CAS  Google Scholar 

  5. Harvey MH, Johnstone MJ, Fossard DP (1985) Inguinal herniotomy in children: a five year survey. Br J Surg 72: 485–487

    Article  PubMed  CAS  Google Scholar 

  6. McGregor DB, Halverson K, McVay CB (1980) The unilateral pediatric inguinal henria: Should the contralateral side be explored? J Pediatr Surg 15: 313–317

    Article  PubMed  CAS  Google Scholar 

  7. Montupet P, Esposito C (1999) Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg 34: 420–423

    Article  PubMed  CAS  Google Scholar 

  8. Olguner M, Aktug T, Akgur FM, Pabuccuoglu U (1997) Experimental study investigating the feasibility of a new method for laparoscopic indirect inguinal hernia repair. J Invest Surg 10: 189–192

    Article  PubMed  CAS  Google Scholar 

  9. Prasad R, Lovvorn HN, Wadie GM, Lobe TE (2003) Early experience with needleoscopic inguinal herniorrhaphy in children. J Pediatr Surg 38: 1055–1058

    Article  PubMed  Google Scholar 

  10. Rothenberg RE, Barnett T (1954) Bilateral herniotomy in infants and children. Surgery 37: 947–950

    Google Scholar 

  11. Schier F (1998) Laparoscopic herniorrhaphy in girls. J Pediatr Surg 33: 1495–1497

    Article  PubMed  CAS  Google Scholar 

  12. Schier F (2000) Laparoscopic surgery of inguinal hernias in children—initial experience. J Pediatr Surg 35: 1331–1335

    Article  PubMed  CAS  Google Scholar 

  13. 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

    Article  PubMed  Google Scholar 

  14. Spurbeck WW, Prasad R, Lobe TE (2005) Two-year experience with minimally invasive herniorrhaphy in children. Surg Endosc 19: 551–553

    Article  PubMed  CAS  Google Scholar 

  15. Tanyel FC, Ocal T, Karaagaoglu E, Buyukpamukcu N (2000) Individual and associated effects of length of inguinal canal and caliber of the sac on clinical outcome in children. J Pediatr Surg 35: 1165–1169

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Urology, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan

    Yao Chou Tsai, Chia Chang Wu & Stephen Shei Dei Yang

  2. Department of Urology, Tzu Chi University, Medical College, Hualien, Taiwan

    Yao Chou Tsai & Stephen Shei Dei Yang

Authors
  1. Yao Chou Tsai
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chia Chang Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stephen Shei Dei Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stephen Shei Dei Yang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tsai, Y.C., Wu, C.C. & Yang, S.S.D. Minilaparoscopic herniorrhaphy with hernia sac transection in children and young adults: a preliminary report. Surg Endosc 21, 1623–1625 (2007). https://doi.org/10.1007/s00464-007-9207-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-007-9207-y

Keywords

Search

Navigation