Laparoscopic approach to incarcerated inguinal hernia in children
Journal of Pediatric Surgery, cilt.41, sa.3, ss.567-569, 2006 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 41 Sayı: 3
- Basım Tarihi: 2006
- Doi Numarası: 10.1016/j.jpedsurg.2005.11.066
- Dergi Adı: Journal of Pediatric Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.567-569
- Anahtar Kelimeler: laparoscopic repair of inguinal hernia, laparoscopy in groin hernia, incarceration of inguinal hernia, reduction
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Purpose: The purpose of this study was to describe the laparoscopic approach to incarcerated inguinal hernia in children. Methods: After unsuccessful manual reduction, 29 patients (aged 3 weeks to 7 years; median, 10 weeks; 44 boys, 15 girls) with incarcerated inguinal hernia underwent immediate laparoscopy. The hernial content was reduced in a combined technique of external manual pressure and internal pulling by forceps. The bowel was inspected, and the hernia was repaired. Results: In all patients, the procedure was successful. No conversion to the open approach was required. Immediate laparoscopic herniorrhaphy in the same session was added. No complications occurred. Conclusions: Laparoscopy allowed for simultaneous reduction under direct visual control, inspection of the incarcerated organ, and definitive repair of the hernia. Technically, it appears easier than the conventional approach because of the internal inguinal ring being widened by intraabdominal carbon dioxide insufflation. The hospital stay is shorter. © 2006 Elsevier Inc. All rights reserved.