Evaluation of Initial Results of Laparoscopic Inguinal Hernia Repair in Children at Vietduc University Hospital
Keywords:
Pediatric inguinal hernia, Laparoscopic inguinal herniaAbstract
Objective: To evaluate the early outcomes of totally intra-peritoneal laparoscopic inguinal hernia repair in children by stitching herniated sac in the deep inguinal orifice at VietDuc university hospital. Materials and Methods: Prospective and retrospective study, 153 patients over 2 years old that were diagnosed with inguinal hernia based on clinical symptoms and ultrasound and treated with laparoscopic technique that use 3 trocars (1 trocar 5mm, 2 trocars 3mm) to stitch hernia sac in the deep inguinal orifice at VietDuc university hospital from January 2017 to June 2018.
Results: In 153 patients: 10 bilateral hernias (6.5%), 31 unilateral hernias were diagnosed with contralateral hernia by laparoscopic (20.3%), 112 unilateral hernias (73.2%). The mean surgical time was 25.2 minutes (30.1 minutes with bilateral hernia, 22.9 minutes with unilateral hernia). Hospital stay duration 1.6 day. No case of surgical catastrophe. Post-operation: 2 patients were bleeding in position of the umbilical trocar and 3 patients were mild swelling of the groin, scrotum. Post-operation follow-up 3 months: no recurrence, no testicular atrophy.
Conclusion: Laparoscopy that use trocar 3mm to treat inguinal hernia in children is safe, feasible, effective methods. The opportunity to diagnose a bilateral hernia when non-diagnosed before surgery, or in case of recurrence
after an inguinal approach, are the main advantages for laparoscopy.
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