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Date Published: 31/05/2023
Online Published: 31/05/2023
Abstract Views: 351
Views PDF: 290
DOI: https://doi.org/10.58490/ctump.2023i59.248
Issue
No. 59 (2023)
Section
Article
How to Cite
Nguyen, L. G. K., Vo , T. A. T., & Nguyen, V. U. (2023). ABSTRACT PEDIATRIC LAPAROSCOPIC INDIRECT INGUINAL HERNIA REPAIR BY PERCUTANEOUS NEEDLE. Cantho Journal of Medicine and Pharmacy, 59, 73-80. https://doi.org/10.58490/ctump.2023i59.248

ABSTRACT PEDIATRIC LAPAROSCOPIC INDIRECT INGUINAL HERNIA REPAIR BY PERCUTANEOUS NEEDLE

Le Gia Kiet Nguyen1,, Thi Anh Trinh Vo 1, Van Ut Nguyen2
1 Can Tho University of Medicine and Pharmacy
2 1. Hau Giang Obstetrics and Pediatrics Hospital

Main Article Content

Abstract

Background: The principle for the repair of indirect inguinal hernias in children consists of complete ligation of the patent processus vaginalis. With the advent of the laparoscopic era, the trend began to move toward the application of laparoscopic techniques for pediatric herniorrhaphy. Laparoscopic totally extraperitoneal ligation by percutaneous needle is a minimally invasive procedure, sparing the spermatic cord and testicular vessels under laparoscopic control. Objectives: 1) To survey on clinical manifestations and imaging of pediatric inguinal hernia; 2) To evaluate the results of pediatric laparoscopic inguinal hernia repair by percutaneous needle. Materials and methods: A cross - sectional descriptive study with analysis was conducted on 101 children at Hau Giang Obstetrics and Pediatrics Hospital from 2020 to 2022. Results: In 101 patients with indirect inguinal hernia, there were 89 (88.1%) boys and 12 (1.9%) girls. Age ranged from 2 years to 15 years. There were 86 (85.1%) patients amitted to hospital because of inguinal mass. An inguinal hernia mass was palpated in 77 (76.2%) patients. The mean operating time was 5,8 minutes for the unilateral cases and 9,. minutes for the bilateral inguinal hernia repairs. All the cases were


completed laparoscopically without intraoperative complications. A contralateral patent processus vaginalis was present in 27.3% (13/101) of the patients. During the follow-up period, 1 recurrences (1%) were observed. No wound complications or umbilical hernias developed. No testicular atrophy was observed. Conclusion: Indirect inguinal hernia repair by percutaneous needle can be a routine procedure with results comparable or superior to those with open procedures. The advantages of technique include the following: technically simple, short operation time, inspection of bilateral internal inguinal rings and essentially indiscernible wounds.

Article Details

Keywords

patent processus vaginalis, indirect inguinal hernia, percutaneous needle

References

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