Single-site Laparoscopic High Ligation of the Extraperitoneal Hernia Sac with an Epidural Needle for Incarcerated Ovarian Hernia in Infants

Overview

Journal BMC Surg

Publisher Biomed Central

Specialty General Surgery

Date 2022 Feb 24

PMID 35197030

Authors

Yun-Jin Wang

Liu Chen

Qi-Liang Zhang

Jian-Qin Zhang

Xu Cui

Chao-Ming Zhou

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to evaluate the safety and efficacy of single-site laparoscopic extraperitoneal hernia sac ligation with an epidural needle for incarcerated ovarian hernias in infants and young children.

Methods: The clinical data of 38 infants with incarcerated ovarian hernias who underwent single-site laparoscopic extradural needle extraperitoneal hernia sac ligation from January 2015 to January 2018 were retrospectively analysed.

Results: All procedures were successfully performed using laparoscopy with no need for conversion to open surgery. The time of hospital stay was 1.30 ± 0.39 days. During hospitalization and follow-up, there were no complications, such as intestinal or bladder injury, abdominal wall vascular injury, ovarian atrophy, hernia recurrence or contralateral indirect hernia. However, three patients experienced complications, including two cases of poor healing of the umbilical incision and one case of suture granuloma.

Conclusions: Single-site laparoscopic high ligation of the extraperitoneal hernia sac with an epidural needle is a safe and feasible method for the treatment of incarcerated ovarian hernias in infants and young children. It has the advantages of minimal trauma, no scarring and good cosmetic effects.

Citing Articles

The clinical value of ultrasound in assessing ovarian strangulation in female infants and toddlers with ovarian hernia.

Gu J, Liu C Front Pediatr. 2024; 12:1366516.

PMID: 38840801 PMC: 11150631. DOI: 10.3389/fped.2024.1366516.

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