Journal List > J Korean Assoc Pediatr Surg > v.20(2) > 1071940

Lee, Boo, and Lee: Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

Abstract

Purpose

Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy.

Methods

Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated.

Results

The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period.

Conclusion

The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.

Figures and Tables

Table 1
Patients' Demographics and Preoperative Characteristics
jkaps-20-23-i001

Values are presented as n, ratio, mean (range), or mean±SD.

Table 2
Number of Contralateral Patent Processus Vaginalis (cPPV)
jkaps-20-23-i002

Notes

The abstract of this article was presented at the 65th Congress of the Korean Surgical Society, Seoul, Korea, November 21-23, 2013.

No potential conflict of interest relevant to this article was reported.

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