The outcome of closure of inguinal hernia with laparoscopic percutaneous extraperitoneal closure in young adults

• Published in: World journal of surgery Vol. 48; no. 2; pp. 371 - 376
• Main Authors: Tanaka, Keiichiro, Miyaki, Yuichiro, Abe, Kumpei, Ueda‐Abe, Eri, Shibuya, Soichi, Takahashi, Toshiaki, Suzuki, Kazufumi
• Format: Journal Article
• Language: English
• Published: United States 01.02.2024
• Subjects: Adolescent; Adult; Child; children; Hernia, Inguinal - surgery; Herniorrhaphy - methods; Humans; Infant; inguinal hernia; Laparoscopy - adverse effects; Laparoscopy - methods; LPEC; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Complications - surgery; Retrospective Studies; TAPP; Treatment Outcome; Young Adult; LPEC; young adult; TAPP; children; inguinal hernia
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1002/wjs.12022

Background Hernioplasty is one of the most commonly performed surgeries. However, the optimal procedure for young adults has not been defined yet. Our study compared the outcomes of laparoscopic percutaneous extraperitoneal closure (LPEC) in young adults with outcomes in children. Material and Methods We retrospectively reviewed patients aged 0–30 years who underwent LPEC. Data regarding age, sex, hernia type, surgical time, pre‐intraoperative laterality, contralateral patent processus vaginalis (CPPV), and complications were analyzed. Results LPEC was performed on 2642 patients in our hospital. Of these, 51 patients were young adults (aged 15–30 years). Asymptomatic CPPV in unilateral patients was frequent in the <15‐year age group (50.2%) compared to the 15–30‐year age group (15.9%). The median surgical time was shorter in the <15‐year age group (19 min, interquartile range [IQR]: 24–33) compared to that of the 15–30‐year age group (33 min, IQR: 23.3–40.8). Conclusions This is the first report on the outcomes in young adult patients who underwent LPEC. The median surgical time was longer in the 15–30‐year age group than in the <15‐year age group. The median follow‐up was 4.7 years with no intra‐postoperative complications, such as postoperative bleeding, infection, persistent pain, and recurrence. LPEC is an effective, cosmetic, and safe surgical treatment in young adults and children.