Laparoscopic inguinal hernia inversion and ligation in female children: a review of 173 consecutive cases at a single institution
pubmed.ncbi.nlm.nih.gov shows its articles on its own site.
Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Jan 2010 · 1 min read
In brief
In brief
Retrospective study of 173 female pediatric patients demonstrates that laparoscopic inguinal hernia inversion and ligation (LIHIL) is safe and effective with only 0.83% recurrence rate. The technique allows simultaneous bilateral repair through same incisions, with 34% of unilateral cases found to have contralateral hernias intraoperatively.
Written by the GCMD Library team from the article.
Statements in this article
Laparoscopic inguinal hernia inversion and ligation is a method of hernia repair in which the hernia sac is inverted into the peritoneal cavity and subsequently ligated and excised.
Two hundred forty-one laparoscopic inguinal hernia inversion and ligation procedures were performed on 173 girls between 2003 and 2009.
The average age of children undergoing laparoscopic inguinal hernia inversion and ligation was 57 months with a range of 1 to 210 months.
Fifteen cases (8.7%) were ex-premature babies.
Of the unilateral inguinal hernias, 34% were found to have bilateral hernias intraoperatively and these were repaired at the same operation.
There were no intraoperative complications in this series.
There were no wound complications postoperatively.
There were 2 recurrences (0.83%) following laparoscopic inguinal hernia inversion and ligation.
Both recurrences were repaired using an open technique.
Laparoscopic inguinal hernia inversion and ligation is a safe and effective operation in girls with a low recurrence rate.
Benefits of laparoscopic inguinal hernia inversion and ligation include diagnosis and repair of the contralateral side using the same incisions, diagnosis of androgen insensitivity and other dysgenic situations, and excellent cosmesis.
Laparoscopic inguinal hernia inversion and ligation is a straightforward technique that can be performed by most pediatric surgeons with basic laparoscopic skills.