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| Year : 2002 | Volume
: 7
| Issue : 2 | Page : 59-63 |
Laparoscopic approach to treatment of congenital inguinal hernia in children (a study of 45 cases)
A Shah, H Gandhi, AV Shah
Department of Pediatric surgery, VS Hospital, Ahmedabad
Correspondence Address:
A Shah
Department of Pediatric surgery, VS Hospital, Ahmedabad
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: The authors report their initial experience in the laparoscopic treatment of congenital inguinal hernia in children. Methods Between February 2001 and October 2001,45 children, 42 boys and 3 girls between 1 month and 10 years of age were treated laparoscopically for inguinal hernia repair; 28 patients (62 percent) presented with right inguinal hernia while 5 patients (11 percent) had left inguinal hernia. The repair involved placement of purse-string suture around the internal orifice of the inguinal canal. A routine search was undertaken for contralateral patent processus vaginalis, which was found in 8 patients (18 percent) and was repaired simultaneously. Twelve patients (27 percent) were found to have bilateral inguinal hernias. Results The surgery lasted 20 to 45 minutes, the duration decreasing with experience. There were no intra or postsurgical complication. Recurrence was noted in 1 patient (2 percent), Which was repaired successfully by laparoscopy. Conclusion The early results suggest that laparoscopic surgery is a safe and feasible technique for the treatment of patent processus vaginalis and inguinal hernia in children. It is also an accurate procedure for exploration and repair of contralateral patent processus vaginalis in children saving the trauma and morbidity of a second surgery.
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