Neonatal Laparoscopic Inguinal Hernia Repair: a 3-year Experience

Overview

Journal Hernia

Publisher Springer

Date 2014 Jun 4

PMID 24889274

Citations 8

Authors

V Pastore

F Bartoli

Affiliations

Soon will be listed here.

Abstract

Purpose: To retrospectively analyze the feasibility, safety and complication rate of laparoscopic inguinal herniorraphy in babies weighing 5 kg or less.

Methods: Thirty infants weighing 5 kg or less underwent laparoscopic inguinal hernia repair during a 3-year period. Twenty-eight infants were born preterm and the mean body weight at surgery was 3,800 kg. Internal inguinal ring was closed with a non-absorbable purse-string suture. Contralateral processus vaginalis was closed if patent. Feeding was started on the same day and the patient discharged the following day. Follow-up consisted of physical examination at 1 week, 6 and 12 months post-operatively.

Results: Of the 30 patients (27 males, 3 females), 11 had bilateral and 19 monolateral hernia (16 right, 3 left). At laparoscopy, 23 infants needed to have bilateral herniorraphies. The mean corrected gestational age at surgery was 49.1 weeks. The mean operative time for repair was 30 min for unilateral and 41 min for bilateral hernia. There were not intra- or post-operative complications as well as conversions or recurrences.

Conclusions: Laparoscopic inguinal hernia repair in newborns and in ex-preterm infants is a safe and effective procedure to perform and, perhaps, even less technically demanding than open herniotomy.

Citing Articles

Optimal timing for inguinal hernia repair in premature infants: surgical issues for inguinal hernia in premature infants.

Cho Y, Kwon H, Ha S, Kim S, Kim D, Namgoong J Ann Surg Treat Res. 2023; 104(5):296-301.

PMID: 37179700 PMC: 10172032. DOI: 10.4174/astr.2023.104.5.296.

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.

PMID: 36949270 PMC: 10533621. DOI: 10.1007/s10029-023-02772-5.

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

Ergun E, Yagiz B, Alper Kara Y, Abay A, Balci O, Eryilmaz S Turk J Surg. 2022; 37(3):215-221.

PMID: 35112055 PMC: 8776410. DOI: 10.47717/turkjsurg.2021.5157.

Comparison of Recurrence and Complication Rates Following Laparoscopic Inguinal Hernia Repair among Preterm versus Full-Term Newborns: A Systematic Review and Meta-Analysis.

Pogorelic Z, Anand S, Krizanac Z, Singh A Children (Basel). 2021; 8(10).

PMID: 34682118 PMC: 8534929. DOI: 10.3390/children8100853.

Our Laparoscopic Surgical Technique and Experience in Treating Pediatric Inguinal Hernia Over the Past Decade.

Alshammari D, Sica M, Talon I, Kauffmann I, Moog R, Becmeur F J Indian Assoc Pediatr Surg. 2020; 25(1):28-33.

PMID: 31896896 PMC: 6910059. DOI: 10.4103/jiaps.JIAPS_233_18.

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