Laparoscopic inguinal herniorrhaphy in children. First results

• Published in: Cirugía pediátrica Vol. 20; no. 4; pp. 220 - 222
• Main Authors: López Diaz, M, Cano Novillo, I, García Vázquez, A, Cabezalí Barbancho, D, Tejedor Sánchez, R, Portela Casalod, E, Benavent Gordo, M I, Gómez Fraile, A
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.10.2007
• Subjects: Adolescent; Child; Child, Preschool; Female; Hernia, Inguinal - surgery; Humans; Infant; Laparoscopy; Male
• ISSN: 0214-1221

The inguinal hernia repair in the child has a new alternative, the laparoscopic repair. We study our initial results obtained with this technique. We evaluate the indications and the efficiency. 150 patients have been operated with an initial diagnosis of hernia inguinal or crural. Usually this technique is realized with three ports: we put the umbilical one (5mm) for the scope and two ports (3 mm) placed in flanks. The repair was realized in purse string fashion or interrupted or noninterrupted suture with non-absorbable suture (polipropylen) 3-4/0. Indications of the herniorraphy were: (12%) recurrent hernia, bilateral hernia (28%), association inguinal hernia inguinal and umbilical (39%), crural hernia (4%) and in 16% incidental hernia. Most of them (137) was treated in purse string fashion, (11) non interrupted suture and 12 interrupted suture. No conversion to open was require in any case. Haematoma for puncture of the spermatic vessels was seen in 6 cases (1,4%). Today we do this surgery in ambulatory way. We have had 2 recurrent hernias (1%) that were treated again laparoscopicaly. We can't extract conclusion from this study because of the number of patients but we think that the laparoscopic treatment of inguinal hernias can offer advantages in selected cases.