LAPAROSCOPIC INGUINAL HERNIOTOMY: RECREATING THE OPEN OPERATION OPTIMISES OUTCOMES
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Read the article on jpedsurg.org ↗Article · Oct 2021 · 1 min read
In brief
In brief
Standardized laparoscopic inguinal herniotomy with circumferential sac division and purse-string closure addresses concerns about higher recurrence and testicular ascent rates. Prospective study compares outcomes of this modified technique to traditional open herniotomy, with focus on complication rates in high-risk populations including preterm infants.
Written by the GCMD Library team from the article.
Background
Recent evidence suggests simple laparoscopic inguinal herniorrhaphy is associated with higher rates of recurrence and testicular ascent. We instigated a standardised approach to laparoscopic inguinal herniotomy (LIH), with circumferential sac division and ‘purse-string' closure (4/0 monofilament polypropylene). An active follow-up programme was pursued. We reviewed our outcomes of this technique and compared them to an open herniotomy (OIH) cohort.
Methods
LIH patients were identified prospectively (2017 - 2021): OIH retrospectively from 2016. Risk factors for complications were defined: extremely to very preterm (