A single institution experience with Laparoscopic Hernia repair in 791 children.

Creator(s)

Wendy Jo Svetanoff, Children's Mercy HospitalFollow
James Fraser, Children's Mercy HospitalFollow
Kayla B. Briggs, Children's Mercy HospitalFollow
Jessica K. Staszak, Children's Mercy HospitalFollow
Charlene Dekonenko, Children's Mercy Hospital
Rebecca M. Rentea, Children's Mercy HospitalFollow
David Juang, Children's Mercy HospitalFollow
Pablo Aguayo, Children's Mercy HospitalFollow
Jason D. Fraser, Children's Mercy HospitalFollow
Charles L. Snyder, Children's Mercy HospitalFollow
Richard J. Hendrickson, Children's Mercy HospitalFollow
Shawn D. St Peter, Children's Mercy HospitalFollow
Tolulope A. Oyetunji MD MPH, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

6-2021

Identifier

DOI: 10.1016/j.jpedsurg.2021.02.021

Abstract

INTRODUCTION: There are many described technique to performing laparoscopic inguinal hernia repair in children. We describe our outcomes using a percutaneous internal ring suturing technique.

METHODS: A retrospective review of patients under 18 years old who underwent repair between January 2014 - March 2019 was performed. A percutaneous internal ring suturing technique, involving hydro-dissection of the peritoneum, percutaneous suture passage, and cauterization of the peritoneum in the sac prior to high ligation, was used. p < 0.05 was considered significant during the analysis.

RESULTS: 791 patients were included. The median age at operation was 1.9 years (IQR 0.37, 5.82). The median operative time for a unilateral repair was 21 min (IQR 16, 28), while the median time for a bilateral repair was 30.5 min (IQR 23, 41). In total, 3 patients required conversion to an open procedure (0.4%), 4 (0.6%) experienced post-operative bleeding, 9 (1.2%) developed a wound infection, and iatrogenic ascent of testis occurred in 10 (1.3%) patients. Twenty patients (2.5%) developed a recurrent hernia. All but two were re-repaired laparoscopically.

CONCLUSIONS: The use of percutaneous internal ring suturing for laparoscopic repair of inguinal hernias in the pediatric population is safe and effective with a low rate of complications and recurrence.

Journal Title

Journal of pediatric surgery

Volume

56

Issue

6

First Page

1185

Last Page

1189

Keywords

Inguinal hernia; Minimally invasive; Pediatric

Recommended Citation

Svetanoff WJ, Fraser JA, Briggs KB, et al. A single institution experience with Laparoscopic Hernia repair in 791 children. J Pediatr Surg. 2021;56(6):1185-1189. doi:10.1016/j.jpedsurg.2021.02.021