, Volume 22, Issue 4, pp 671–679 | Cite as

Efficacy of laparoscopic herniorrhaphy for treating incarcerated pediatric inguinal hernia

  • S. R. LeeEmail author
Original Article



Inguinal hernia repair is one of the most common elective surgeries. Most patients present with reducible inguinal bulging; however, in cases of incarcerated inguinal hernia (IIH), an emergency surgery is required. Here, we report the surgical outcomes of a laparoscopic approach for IIH.


Laparoscopic herniorrhaphy was performed in 4782 pediatric patients from September 2012 to December 2016 at Damsoyu Hospital, Seoul, Korea. Among them, the surgical outcomes of 164 IIH patients were retrospectively analyzed.


Incarcerated organs comprised 51 ovaries, 103 intestines, and 10 omentums. The ovary (51/66) and intestine (88/98) were the most common incarcerated organs in females and males, respectively. The intestines, ovaries, and omentums were preserved in most cases. An oophorectomy was performed in one female patient with an unrecovered ischemic ovary, and an orchiectomy was performed in a male patient with ischemic testis because of cord vessel compression caused by intestine incarceration. In male pediatric patients, an age of <12 months and symptom duration of >1 week were risk factors for IIH, whereas in female pediatric patients, an age of <12 months and symptom duration of ≤1 week were risk factors for IIH.


The intestines and ovaries were the most commonly herniated organs in male and female pediatric patients, respectively. Intracorporeal organ reduction was easily performed with a laparoscopic instrument.


Incarceration Strangulation Laparoscopic herniorrhaphy Irreducible hernia 


Compliance with ethical standards

Conflicts of interest

No conflict of interest is declared for the author.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and animal rights

This article does not contain any studies with animals performed by any of the authors.

Informed consent

For this type of study (retrospective observational study), formal consent is not required.

Supplementary material

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Supplementary material 1 (AVI 3408 kb)
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Supplementary material 2 (AVI 3303 kb)
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Supplementary material 3 (AVI 5575 kb)


  1. 1.
    Gallegos NC, Dawson J, Jarvis M, Hobsley M (1991) Risk of strangulation in groin hernias. Br J Surg 78:1171–1173CrossRefPubMedGoogle Scholar
  2. 2.
    Kulah B, Kulacoglu IH, Oruc MT, Duzgun AP, Moran M, Ozmen MM, Coskun F (2001) Presentation and outcome of incarcerated external hernias in adults. Am J Surg 181(2):101–104CrossRefPubMedGoogle Scholar
  3. 3.
    Kurt N, Oncel M, Ozkan Z, Bingul S (2003) Risk and outcome of bowel resection in patients with incarcerated groin hernias: retrospective study. World J Surg 27:741–743CrossRefPubMedGoogle Scholar
  4. 4.
    Derici H, Unalp HR, Nazli O, Kamer E, Coskun M, Tansug T, Bozdag AD (2010) Prosthetic repair of incarcerated inguinal hernias: is it a reliable method? Langenbecks Arch Surg 395:575–579CrossRefPubMedGoogle Scholar
  5. 5.
    James G, Bittner IV (2016) Incarcerated/strangulated hernia: Open or Laparoscopic? Adv Surg 50(1):67–78CrossRefGoogle Scholar
  6. 6.
    Lee SR, Choi SB (2016) The efficacy of laparoscopic intracorporeal linear suture technique as a strategy for reducing recurrences in pediatric inguinal hernia. Hernia. doi: 10.1007/s10029-016-1546-y CrossRefPubMedGoogle Scholar
  7. 7.
    Ein SH, Njere I, Ein A (2006) Six thousand three hundred sixty-one pediatric inguinal hernias: a 35-year review. J Pediatr Surg 41:980–986CrossRefPubMedGoogle Scholar
  8. 8.
    Houben CH, Chan KW, Mou JW, Lee KH (2015) Irreducible inguinal hernia in children: how serious is it? J Pediatr Surg 50:1174–1176CrossRefPubMedGoogle Scholar
  9. 9.
    Beadles CA, Meagher AD, Charles AG (2015) Trends in emergent hernia repair in the united states. JAMA Surg 150(3):194–200CrossRefPubMedGoogle Scholar
  10. 10.
    Hernández-Irizarry R, Zendejas B, Ramirez T, Moreno M, Ali SM, Lohse CM, Farley DR (2012) Trends in emergent inguinal hernia surgery in Olmsted County, MN: a population-based study. Hernia 16(4):397–403CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Merriman TE, Auldist AW (2000) Ovarian torsion in inguinal hernia. Pediatr Surg Int 16:383–385CrossRefPubMedGoogle Scholar
  12. 12.
    Takehara H, Hanaoka J, Arakawa Y (2009) Laparoscopic strategy for inguinal ovarian hernias in children: When to operate for irreducible ovary. J Laparoendosc Adv Surg Tech A 19(1):S129–S131CrossRefPubMedGoogle Scholar
  13. 13.
    Shalaby R, Shams AM, Mohamed S et al (2007) Two-trocar needlescopic approach to incarcerated inguinal hernia in children. J Pediatr Surg 42:1259–1262CrossRefPubMedGoogle Scholar
  14. 14.
    Koivusalo A, Pakarinen MP, Rintala RJ (2007) Laparoscopic herniorrhaphy after manual reduction of incarcerated inguinal hernia. Surg Endosc 21:2147–2149CrossRefPubMedGoogle Scholar
  15. 15.
    Nah SA, Giacomello L, Eaton S et al (2011) Surgical repair of incarcerated inguinal hernia in children: laparoscopic or open? Eur J Pediatr Surg 21:8–11CrossRefPubMedGoogle Scholar
  16. 16.
    Kaya M, Hückstedt T, Schier F (2006) Laparoscopic approach to incarcerated inguinal hernia in children. J Pediatr Surg 41:567–569CrossRefPubMedGoogle Scholar
  17. 17.
    Deeba S, Purkayastha S, Paraskevas P et al (2009) Laparoscopic approach to incarcerated and strangulated inguinal hernia. JSLS 13:327–331PubMedPubMedCentralGoogle Scholar
  18. 18.
    Poelman MM, van den Heuvel B, Deelder JD (2013) EAES consensus development conference on endoscopic repair of groin hernias. Surg Endosc 27:3505–3519CrossRefPubMedGoogle Scholar
  19. 19.
    Erdoğan D, Karaman İ, Aslan MK et al (2013) Analysis of 3776 pediatric inguinal hernia and hydrocele cases in a tertiary center. J Pediatr Surg 48:1767–1772CrossRefPubMedGoogle Scholar
  20. 20.
    Niedzielski J, Król R, Gawłowska A (2003) Could incarceration of inguinal hernia in children be prevented? Med Sci Monit 9:16–18Google Scholar
  21. 21.
    Pollak R, Nhyus LM (1989) Strangulating external hernia. In: Nhyus LM, Condon RE (eds) hernia, 3rd edn. Philadelphia, PA, JB Lippincott, pp 273–283Google Scholar

Copyright information

© Springer-Verlag France SAS 2017

Authors and Affiliations

  1. 1.Department of SurgeryDamsoyu HospitalSeoulRepublic of Korea

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