Abstract
PurposeAs laparoscopic techniques and equipments improve, laparoscopic inguinal hernia repair has been gaining popularity. The objective of the study was to summarize 9 years of experience using a single-port micro-laparoscopic approach to repair pediatric inguinal hernias with a simple hernia needle.Methods1880 children with inguinal hernias were enrolled using micro-laparoscopic surgery between June 2009 and 2018. All patients underwent high ligation surgery using a single-port micro-laparoscopic technique. The clinical data were retrospectively analyzed.ResultsAll micro-laparoscopic surgeries were successfully performed in the 1880 patients, who ranged in age from 2 months to 14 years (3.66 ± 2.96 years) including 1622 males and 258 females. Among them, 1299 cases were unilateral hernias and 581 cases were bilateral hernias. The average operating time was 12.5 ± 3.5 min for a unilateral hernia and 20.5 ± 4.5 min for bilateral hernias. All patients were discharged 1–2 days after surgery, and the average length of their hospital stay was 2–4 days. Complications of knot reaction and pneumoscrotum occurred in 5 cases (0.27%) and 54 cases (2.87%), respectively, but these cases were properly managed, with no major impact on the operational outcomes. All patients were followed up for 3–65 months; there were 13 recurrent cases (0.69%).ConclusionsSingle-port micro-laparoscopic herniorrhaphy in children using a simple hernia needle is a reliable and minimally invasive procedure.
Highlights
In children, inguinal hernia repair requires only the high ligation of the hernia sac
The laparoscopic ligation of the hernia sac has been widely applied in clinical practice, and various methods have been developed by different teams [2, 3]
About 60% of inguinal hernias occur on the right side, while bilateral hernias account for about 10% of all cases [5, 6]
Summary
Inguinal hernia repair requires only the high ligation of the hernia sac. With the development of laparoscopic surgical techniques, laparoscopic inguinal hernia repair can avoid these shortcomings and allow the high ligation of the hernia sac, which can reduce the recurrence rate [1]. The laparoscopic ligation of the hernia sac has been widely applied in clinical practice, and various methods have been developed by different teams [2, 3]. They may exit some pitfalls, such as complicated procedure and special equipments; in addition, a large number of clinical cases of a single-port laparoscopic inguinal hernia repair are rarely reported. Since June 2009, 1880 pediatric inguinal hernia cases have been treated using single-port micro-laparoscopic herniorrhaphy, and good outcomes were achieved. We described the surgical procedure and reported the patients’ outcomes
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