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Laparoscopic recurrent inguinal hernia repair in children who underwent open procedure

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Abstract

Purpose

Inguinal hernia is one of the most common condition requiring surgical repair in childhood. The recurrence rate is between 1 and 2%. Open repair of recurrent inguinal hernia may be challenging due to the difficulty in dissection of hernia sac from spermatic cord and testicular vessels. On the other hand, laparoscopic approach offers an easier and safer repair without engaging these structures. The aim of this study is to present the experience in laparoscopic repair of recurrent inguinal hernias in children.

Methods

The children who underwent laparoscopic inguinal hernia repair between 2015 and 2021 for recurrence after a previous open hernia repair were included in this study. Laparoscopic percutaneous internal ring suturing was performed in all these patients.

Results

A total of 24 children (2 girls and 22 boys) were enrolled for analysis. The mean age was 15 months and the mean weight was 21 kg. Fourteen children had right hernia, while 10 had left. Two of patients had a second open surgery for a recurrent hernia. Of the 24 recurrences, 17 developed in the first year following surgery and seven later. No complication was encountered after laparoscopic repair and no recurrence after a mean follow-up of 24.6 months.

Conclusion

Laparoscopic-assisted percutaneous internal ring suturing method may be preferred in children with recurrent inguinal hernias who underwent previous open repair in order to avoid possible injury to the cord due to the scars of primary operation.

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Funding

No funding was received for the study.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Dikimevi, 06100, Ankara, Turkey

    Ergun Ergun & Pari Khalilova

  2. Department of Pediatric Surgery, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey

    Beytullah Yagiz

Authors
  1. Ergun Ergun
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  2. Pari Khalilova
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  3. Beytullah Yagiz
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Corresponding author

Correspondence to Ergun Ergun.

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Conflict of interest

There was no Conflicts of interest among authors.

Ethical declaration

All patients were managed as per the Helsinki declaration as well as approval from the local Ethics committee.

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Ergun, E., Khalilova, P. & Yagiz, B. Laparoscopic recurrent inguinal hernia repair in children who underwent open procedure. J Ped Endosc Surg 4, 157–160 (2022). https://doi.org/10.1007/s42804-022-00157-6

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  • DOI: https://doi.org/10.1007/s42804-022-00157-6

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