Minilaparoscopic herniorrhaphy with hernia sac transection in children and young adults: A preliminary report

Yao Chou Tsai, Chia Chang Wu, Stephen Shei Dei Yang

研究成果: 雜誌貢獻文章同行評審

40 引文 斯高帕斯(Scopus)


Background: We designed a technique of pure minilaparoscopic hernia sac transaction and ligation to repair primary inguinal hernias in children and young adults. Methods: Between September 2003 and December 2004, 83 patients with primary inguinal hernia were treated surgically with minilaparoscopic herniorrhaphy. The mean patient age was 6.8 years. Before the operation there were synchronous bilateral hernias in 2 (2.4%) patients, left inguinal hernias in 39 (47%) patients, and right inguinal hernias in 42 (50.6%) patients. The minilaparoscopic herniorrhaphy was carried out with the 3-mm laparoscopic and hand instrument system. Three 3.5-mm trocar ports were used for the telescope and 3-mm instruments. The peritoneum overlying the internal ring was circumferentially incised, then the peritoneal defect was closed with intracorporeal sutures. Results: One hundred and fourteen minilaparoscopic herniorrhaphies were performed. The mean followup period was 12.9 months. The mean operation time was 52 min. There was only one recurrence (1.2%) that was detected nine months after primary repair. All patients were able to return to unrestricted activity immediately and were discharged within 24 h after the operation. There was no reported case of testicular atrophy to date. Conclusions: Minilaparoscopic herniorrhaphy with hernia sac transaction is a safe and effective technique in children and young adults with indirect inguinal hernias.

頁(從 - 到)1623-1625
期刊Surgical Endoscopy and Other Interventional Techniques
出版狀態已發佈 - 9月 2007

ASJC Scopus subject areas

  • 手術


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