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Inguinalhernien bei Kindern und Jugendlichen

  • Stephan KellnarEmail author
  • Stephanie Singer
Living reference work entry
First Online:
Part of the Springer Reference Medizin book series (SRM)

Zusammenfassung

Die kindliche Leistenhernie ist in den meisten Fällen eine indirekte, angeborene Hernie, die durch eine fehlende Obliteration des Processus vaginalis zustande kommt. Frühgeborene und Jungen sind ebenso wie die rechte Seite häufiger betroffen. Mit der Diagnosestellung, also dem klinischen Bild einer reponiblen bzw. irreponiblen Schwellung in der Leiste, ist die Indikation zur operativen Versorgung gegeben. Die Therapie besteht in dem Verschluss bzw. der Abtragung des offenen Processus vaginalis. Dieser Eingriff kann mit gleichwertigen Resultaten auch minimalinvasiv vorgenommen werden. Darüber hinaus eröffnet die laparoskopische Technik die Diagnostik seltener Leistenhernien im Kindesalter (direkte Hernie, Femoralhernie) und deren minimalinvasive Behandlung.

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Literatur

  1. Baird R, Gholoum S et al (2011) Prematurity, not age at operation or incarceration, impacts complication rates of inguinal hernia repair. J Pediatr Surg 46(5):908–911CrossRefPubMedGoogle Scholar
  2. Bronsther B, Abrams MW et al (1972) Inguinal hernias in children – a study of 1000 cases and a review of the literature. J Am Med Womens Assoc 27(10):522–525 passimGoogle Scholar
  3. Celebi S, Uysal AI et al (2014) A single-blinded, randomized comparison of laparoscopic versus open bilateral hernia repair in boys. J Laparoendosc Adv Surg Tech A 24(2):117–121CrossRefPubMedGoogle Scholar
  4. Clarnette TD, Lam SK et al (1998) Ventriculo-peritoneal shunts in children reveal the natural history of closure of the processus vaginalis. J Pediatr Surg 33(3):413–416CrossRefPubMedGoogle Scholar
  5. Coran AG, Eraklis AJ (1967) Inguinal hernia in the Hurler-Hunter syndrome. Surgery 61(2):302–304PubMedGoogle Scholar
  6. Deboer A (1957) Inguinal hernia in infants and children. AMA Arch Surg 75(6):920–927CrossRefPubMedGoogle Scholar
  7. Draus JM Jr, Kamel S et al (2011) The role of laparoscopic evaluation to detect a contralateral defect at initial presentation for inguinal hernia repair. Am Surg 77(11):1463–1466PubMedGoogle Scholar
  8. Ein SH, Njere I et al (2006) Six thousand three hundred sixty-one pediatric inguinal hernias: a 35-year review. J Pediatr Surg 41(5):980–986CrossRefPubMedGoogle Scholar
  9. Endo M, Watanabe T et al (2009) Laparoscopic completely extraperitoneal repair of inguinal hernia in children: a single-institute experience with 1,257 repairs compared with cut-down herniorrhaphy. Surg Endosc 23(8):1706–1712CrossRefPubMedPubMedCentralGoogle Scholar
  10. Esposito C, St Peter SD et al (2014) Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J Laparoendosc Adv Surg Tech A 24(11):811–818CrossRefPubMedGoogle Scholar
  11. Fonkalsrud EW, Delorimier AA et al (1965) Femoral and direct inguinal hernias in infants and children. JAMA 192:597–599CrossRefPubMedGoogle Scholar
  12. Friedman D, Schwartzbard A et al (1979) The government and the inguinal hernia. J Pediatr Surg 14(3):356–359CrossRefPubMedGoogle Scholar
  13. Geisler DP, Jegathesan S et al (2001) Laparoscopic exploration for the clinically undetected hernia in infancy and childhood. Am J Surg 182(6):693–696CrossRefPubMedGoogle Scholar
  14. Giseke S, Glass M et al (2010) A true laparoscopic herniotomy in children: evaluation of long-term outcome. J Laparoendosc Adv Surg Tech A 20(2):191–194CrossRefPubMedGoogle Scholar
  15. Golka T, Holschneider AM et al (1989) Pathogenicity of the open processus vaginalis peritonei. Z Kinderchir 44(2):88–90PubMedGoogle Scholar
  16. Grosfeld JL, Cooney DR (1974) Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg 9(3):311–315CrossRefPubMedGoogle Scholar
  17. Harper RG, Garcia A et al (1975) Inguinal hernia: a common problem of premature infants weighing 1000 grams or less at birth. Pediatrics 56(1):112–115PubMedGoogle Scholar
  18. Immordino PA (1972) Femoral hernia in infancy and childhood. J Pediatr Surg 7(1):40–43CrossRefPubMedGoogle Scholar
  19. Janik JS, Shandling B (1982) The vulnerability of the vas deferens (II): the case against routine bilateral inguinal exploration. J Pediatr Surg 17(5):585–588CrossRefPubMedGoogle Scholar
  20. Kastenberg Z, Bruzoni M et al (2011) A modification of the laparoscopic transcutaneous inguinal hernia repair to achieve transfixation ligature of the hernia sac. J Pediatr Surg 46(8):1658–1664CrossRefPubMedGoogle Scholar
  21. Lau ST, Lee YH et al (2007) Current management of hernias and hydroceles. Semin Pediatr Surg 16(1):50–57CrossRefPubMedGoogle Scholar
  22. Lee SL, DuBois JJ (2000) Laparoscopic diagnosis and repair of pediatric femoral hernia. Initial experience of four cases. Surg Endosc 14(12):1110–1113CrossRefPubMedGoogle Scholar
  23. Luo CC, Chao HC (2007) Prevention of unnecessary contralateral exploration using the silk glove sign (SGS) in pediatric patients with unilateral inguinal hernia. Eur J Pediatr 166(7):667–669CrossRefPubMedGoogle Scholar
  24. Lynn HB, Johnson WW (1961) Inguinal herniorrhaphy in children. A critical analysis of 1000 cases. Arch Surg 83:573–579CrossRefPubMedGoogle Scholar
  25. Matsuda T, Muguruma K et al (1998) Seminal tract obstruction caused by childhood inguinal herniorrhaphy: results of microsurgical reanastomosis. J Urol 159(3):837–840CrossRefPubMedGoogle Scholar
  26. McEntyre RL, Raffensperger JG (1977) Surgical complications of Ehlers-Danlos syndrome in children. J Pediatr Surg 12(4):531–535CrossRefPubMedGoogle Scholar
  27. Miltenburg DM, Nuchtern JG et al (1998) Laparoscopic evaluation of the pediatric inguinal hernia – a meta-analysis. J Pediatr Surg 33(6):874–879CrossRefPubMedGoogle Scholar
  28. Murdoch RW (1979) Testicular strangulation from incarcerated inguinal hernia in infants. J R Coll Surg Edinb 24(2):97–101PubMedGoogle Scholar
  29. Ozgediz D, Roayaie K et al (2007) Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: report of a new technique and early results. Surg Endosc 21(8):1327–1331CrossRefPubMedGoogle Scholar
  30. Palmer BV (1978) Incarcerated inguinal hernia in children. Ann R Coll Surg Engl 60(2):121–124PubMedPubMedCentralGoogle Scholar
  31. Patkowski D, Czernik J et al (2006) Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. J Laparoendosc Adv Surg Tech A 16(5):513–517CrossRefPubMedGoogle Scholar
  32. Perlstein J, Du Bois JJ (2000) The role of laparoscopy in the management of suspected recurrent pediatric hernias. J Pediatr Surg 35(8):1205–1208CrossRefPubMedGoogle Scholar
  33. Potts WJ, Riker WL et al (1950) The treatment of inguinal hernia in infants and children. Ann Surg 132(3):566–576CrossRefPubMedPubMedCentralGoogle Scholar
  34. Puri P, Guiney EJ et al (1984) Inguinal hernia in infants: the fate of the testis following incarceration. J Pediatr Surg 19(1):44–46CrossRefPubMedGoogle Scholar
  35. Rajput A, Gauderer MW et al (1992) Inguinal hernias in very low birth weight infants: incidence and timing of repair. J Pediatr Surg 27(10):1322–1324CrossRefPubMedGoogle Scholar
  36. Rayamajhi A, Pokharel PJ et al (2013) Mucopolysaccharidosis type II with inguinal hernia. J Nepal Health Res Counc 11(25):293–295PubMedGoogle Scholar
  37. Rescorla FJ, Grosfeld JL (1984) Inguinal hernia repair in the perinatal period and early infancy: clinical considerations. J Pediatr Surg 19(6):832–837CrossRefPubMedGoogle Scholar
  38. Riquelme M, Aranda A et al (2010) Laparoscopic pediatric inguinal hernia repair: no ligation, just resection. J Laparoendosc Adv Surg Tech A 20(1):77–80CrossRefPubMedGoogle Scholar
  39. Ross LS, Gallo DA et al (1969) Testicular infarction due to strangulated inguinal hernias in infants. J Urol 102(5):644–646CrossRefPubMedGoogle Scholar
  40. Rowe MI, Clatworthy HW (1970) Incarcerated and strangulated hernias in children. A statistical study of high-risk factors. Arch Surg 101(2):136–139CrossRefPubMedGoogle Scholar
  41. Rowe MI, Copelson LW et al (1969) The patent processus vaginalis and the inguinal hernia. J Pediatr Surg 4(1):102–107CrossRefPubMedGoogle Scholar
  42. Saka R, Okuyama H et al (2014) Safety and efficacy of laparoscopic percutaneous extraperitoneal closure for inguinal hernias and hydroceles in children: a comparison with traditional open repair. J Laparoendosc Adv Surg Tech A 24(1):55–58CrossRefPubMedGoogle Scholar
  43. Schier F (2000) Direct inguinal hernias in children: laparoscopic aspects. Pediatr Surg Int 16(8):562–564CrossRefPubMedGoogle Scholar
  44. Schier F (2007) The laparoscopic spectrum of inguinal hernias and their recurrences. Pediatr Surg Int 23(12):1209–1213CrossRefPubMedGoogle Scholar
  45. Schier F, Klizaite J (2004) Rare inguinal hernia forms in children. Pediatr Surg Int 20(10):748–752CrossRefPubMedGoogle Scholar
  46. Shalaby R, Ismail M et al (2010) Laparoscopic hernia repair in infancy and childhood: evaluation of 2 different techniques. J Pediatr Surg 45(11):2210–2216CrossRefPubMedGoogle Scholar
  47. Shalaby R, Ibrahem R et al (2012) Laparoscopic hernia repair versus open herniotomy in children: a controlled randomized study. Minim Invasive Surg 2012:484135PubMedPubMedCentralGoogle Scholar
  48. Simpson TE, Gunnlaugsson GH et al (1969) Further experience with bilateral operations for inguinal hernia in infants and children. Ann Surg 169(3):450–454CrossRefPubMedPubMedCentralGoogle Scholar
  49. Skandalakis JE, Wood Gray S (1994) Embryology for surgeons. Williams & Wilkins, BaltimoreGoogle Scholar
  50. Steffen T, Neuweiler J et al (2010) Nuck’sche Zyste – Die Hydrozele der Frau. Forum Med Suisse 10(12):235–236Google Scholar
  51. Steven M, Carson P et al (2016) Simple purse string laparoscopic versus open hernia repair. J Laparoendosc Adv Surg Tech A 26(2):144–147CrossRefPubMedGoogle Scholar
  52. Stylianos S, Jacir NN et al (1993) Incarceration of inguinal hernia in infants prior to elective repair. J Pediatr Surg 28(4):582–583CrossRefPubMedGoogle Scholar
  53. Tam YH, Lee KH et al (2009) Laparoscopic hernia repair in children by the hook method: a single-center series of 433 consecutive patients. J Pediatr Surg 44(8):1502–1505CrossRefPubMedGoogle Scholar
  54. Tatekawa Y (2011) Laparoscopic extracorporeal ligation of hernia defects using an epidural needle and preperitoneal hydrodissection. J Endourol 26(5):474–477Google Scholar
  55. Tsai YC, Wu CC et al (2011) Minilaparoscopic herniorrhaphy in pediatric inguinal hernia: a durable alternative treatment tostandard herniotomy. J Pediatr Surg 46(4):708–712CrossRefPubMedGoogle Scholar
  56. Valusek PA, Spilde TL et al (2006) Laparoscopic evaluation for contralateral patent processus vaginalis in children with unilateral inguinal hernia. J Laparoendosc Adv Surg Tech A 16(6):650–653CrossRefPubMedGoogle Scholar
  57. Watanabe T, Nakano M et al (2008) An investigation on the mechanism of contralateral manifestations after unilateral herniorrhaphy in children based on laparoscopic evaluation. J Pediatr Surg 43(8):1543–1547CrossRefPubMedGoogle Scholar
  58. Weber CH (1986) Successful restoration of fertility twenty-nine years after bilateral vasal injury in infancy. Urology 28(4):299–300CrossRefPubMedGoogle Scholar
  59. Weber TR, Tracy TF Jr et al (2005) Groin hernias and hydroceles. In: Ashcraft KW (Hrsg) Pediatric surgery. E. Saunders, PhiladelphiaGoogle Scholar
  60. Willital GH, Lehmann RR (2000) Chirurgie im Kindesalter. Spitta Verlag GmbH, MünsterGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Klinik für KinderchirurgieKlinikum Dritter OrdenMünchenDeutschland

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