Laparoscopic Inguinal Hernia Repair in Premature Babies Weighing 3 Kg or Less

Overview

Journal Pediatr Surg Int

Specialties General Surgery
Pediatrics

Date 2012 Aug 10

PMID 22875463

Citations 17

Authors

C Esposito

S Turial

M Escolino

I Giurin

F Alicchio

J Enders

K Krause

A Settimi

F Schier

Affiliations

Soon will be listed here.

Abstract

Purpose: This retrospective study aims to evaluate the feasibility, safety and complication rate of laparoscopic inguinal hernia repair for small babies weighing 3 kg or less.

Methods: A retrospective analysis was performed on the surgical charts of 67 infants (47 boys and 20 girls) weighing 3 kg or less who underwent laparoscopic hernia repair in a 3-year period. A regular 5-mm scope was used for visualization, and 2 or 3-mm instruments were used for the closure of the inner inguinal ring using 3/0 non-absorbable suture. The median weight at surgery was 2,600 g (range 1,450-3,000 g). All except three were premature.

Results: Of the 67 infants, 15 (22.3 %) presented with an irreducible hernia. In three cases of irreducible hernias, we also performed a transumbilical appendectomy at the end of the hernia repair. Minor problems related with anesthesia were noted in four cases. Hernia recurrence was observed in three patients (4.4 %). No cases of testicular atrophy occurred. In 10 boys, we observed 12 cases of high testes, only 4 testes requiring subsequent orchiopexy.

Conclusions: Laparoscopic inguinal hernia repair for babies weighing 3 kg or less is feasible, safe and perhaps even less technically demanding than open inguinal herniotomy.

Citing Articles

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Laparoscopic hernia repair in children: does recreating the open operation improve outcomes? A systematic review.

Goneidy A, Verhoef C, Lansdale N, Peters R, Wilkinson D Hernia. 2023; 27(5):1037-1046.

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Comparison of laparoscopic percutaneous internal ring suturing method and open inguinal hernia repair in children under 3 months of age.

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Long-term outcomes of pediatric laparoscopic needled-assisted inguinal hernia repair: A 10-year experience.

Garcia D, Baker C, Patel S, Hebra A, Cina R, Streck C J Pediatr Surg. 2020; 56(1):121-125.

PMID: 33246576 PMC: 7818020. DOI: 10.1016/j.jpedsurg.2020.09.022.

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