Abstract
Background
Open repair of recurrent paediatric inguinal hernias (IH) is difficult and there is definite risk of damaging the vas deferens and testicular vessels during dissection of the previous open herniotomy field. Laparoscopic repair (LR) has the benefit of avoiding the previous operative site.
Method
Records of patients with recurrent IH that had LR after open repair were reviewed and evaluated retrospectively. The results were compared with data from cases in which the LR method was used in the initial IH repair.
Results
From September 2002 to October 2005, four boys and one girl (mean age 58.8 months) were treated in our institution for recurrent IH after open repair. Operative time, success rate and complications did not show any statistically significant difference when compared with our previous prospectively collected data for primary repairs.
Conclusion
Laparoscopic repair is the preferred operation for recurrent childhood IH after open repair.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Cheung TT, Chan KL (2003) Laparoscopic inguinal hernia repair in children. Ann Coll Surg HK 7:94–96
Levitt MA, Ferraraccio D, Arbesman MC, Brisseau GF, Caty MG, Glick PL (2002) Variability of inguinal hernia surgical technique: a survey of North American pediatric surgeons. J Pediatr Surg 37:745–751
Antonoff MB, Kreykes NS, Saltzman DA, Acton RD (2005) American academy of pediatric section on surgery hernia survey revisited. J Pediatr Surg 40:1009–1014
Carneiro PM (1990) Inguinal herniotomy in children. East Afr Med J 67:359–364
Harvey MH, Johnstone MJ, Fossard DP (1985) Inguinal herniotomy in children: a five-year survey. Br J Surg 72:485–487
Nazir M, Saebo A (1996) Contralateral inguinal hernial development and ipsilateral recurrence following unilateral hernia repair in infants and children. Acta Chir Belg 96:28–30
Chan KL, Tam PK (2003) A safe laparoscopic technique for the repair of inguinal hernias in boys. J Am Coll Surg 196:987–989
Chan KL, Tam PK (2004) Technical refinements in laparoscopic repair of childhood inguinal hernias. Surg Endosc 18:957–960
Chan KL, Hui WC, Tam PK (2005) Prospective randomized single-center, single-blinded comparison of laparoscopic vs repair of pediatric inguinal hernia. Surg Endosc 19:927–932
Grosfeld JL, Minnick K, Shedd F, West KW, Rescorla FJ, Vane DW (1991) Inguinal hernia in children: factors affecting recurrence in 62 cases. J Pediatr Surg 26:283–287
Schier F, Montupet P, Espostito C (2002). Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. J Pediatr Surg 37:395–397
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Chan, K.L. Laparoscopic repair of recurrent childhood inguinal hernias after open herniotomy . Hernia 11, 37–40 (2007). https://doi.org/10.1007/s10029-006-0158-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10029-006-0158-3