A single institution experience with Laparoscopic Hernia repair in 791 children.
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 of pediatric surgery
Inguinal hernia; Minimally invasive; Pediatric
Svetanoff, W., Fraser, J., Briggs, K. B., Staszak, J. K., Dekonenko, C., Rentea, R. M., Juang, D., Aguayo, P., Fraser, J. D., Snyder, C. L., Hendrickson, R. J., St Peter, S. D., Oyetunji, T. A. A single institution experience with Laparoscopic Hernia repair in 791 children. Journal of pediatric surgery 56, 1185-1189 (2021).