Pediatric Inguinal Hernia Repair Technique

Indirect inguinal hernia repair is a common procedure for premature infants because of the frequency of a patent processus vaginalis. Prompt surgical correction decreases the risk of incarceration strangulation and necrosis in children. Hernia recurrence following inguinal hernia repair in children.

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There are various techniques for herniorrhaphy.

Pediatric inguinal hernia repair technique. The lower abdomen and inguinoscrotal. Premature infants are often operated on before leaving the neonatal intensive care unit nicu because the risk of the hernia becoming incarcerated is greatest in early infancy. 2010 laparoscopic inguinal hernia repair in the pediatric age group experience with 437 children. Parelkar s v oak s gupta r et al.

Also it is covered by underwear. J laparoendosc adv surg tech a 24 183 187. The technique is highly limited if there is no training and there is lack of expertise and equipment. Ing gwuh nl hernia repair is one of the most common operations that pediatric surgeons perform it is typically an outpatient procedure performed under general anesthesia in children.

Inguinal hernia repair is performed in about 3 of 100 children and is the most common pediatric surgery 5 repair of an inguinal hernia is always recommended in children. The care and operation for inguinal hernias in children differs from that in adults. A review of the current evidence. Timberlake md herbst kw rasmussen s corbett st.

Review of technique and comparison with open surgery. Ponsky ta nalugo m ostlie dj 2014 pediatric laparoscopic inguinal hernia repair. It is hardly visible after a few months. The operation is indicated in the treatment of inguinal hernias and communicating hydroceles.

Taylor k sonderman ka wolf ll jiang w armstrong lb koehlmoos tp et al. J pediatr surg 45 789 792. Open repair of the pediatric inguinal hernia the patient should be placed on the operating table in a supine position with his or her legs slightly abducted. This fairly new technique for laparoscopic repair of inguinal hernias in infants and children is now well accepted among many pediatric surgeons.

Inguinal hernia repair in pediatric patients small children gain little benefit from laparoscopic hernia repair as inguinal skin crease incision used in the herniotomy is one of the best incisions as far as cosmesis is concerned. The disadvantages of laparoscopic technique in inguinal hernia repair in children are. It is expensive longer duration of surgery higher recurrence rates and longer learning curve when compared to the conventional open method. Different techniques are being used to tighten up the hernia opening which vary from a single stitch to a purse string procedure using laparoscopy.

Because of the very small skin incisions it is associated with minimal pain and has great cosmetic appeal. Laparoscopic percutaneous inguinal hernia repair in children. 7 several published comparative studies and large laparoscopic series 3 6 aim to clarify the feasibility of laparoscopy in pediatric inguinal hernia repair and compare laparoscopy versus.