Abstract
ABSTRACT Background:Inguinal herniotomy is the most common surgery performed by pediatric surgeons. Aim:To compare the results and complications between two conventional methods of pediatric inguinal herniotomy with and without incising external oblique aponeurosis in terms of recurrence of hernia and other complications. Methods: This one blinded clinical trial study was conducted on 800 patients with indirect inguinal hernia. Inclusion criterion was children with inguinal hernia. The first group underwent herniotomy without incising external oblique aponeurosis and second group herniotomy with incising external oblique aponeurosis. Recurrence of hernia and other complications including ileoinguinal nerve damage, hematoma, testicular atrophy, hydrocele, ischemic orchitis, and testicular ascent were evaluated. Results:Recurrence and other complications with or without incising external oblique aponeurosis had no significant difference, exception made to hydrocele significantly differed between the two groups, higher in the incision group.Conclusion:Herniotomy without incising oblique aponeurosis can be appropriate choice and better than herniotomy with incising oblique aponeurosis. Children with inguinal herniotomy can be benefit without incising oblique aponeurosis, instead of more interventional traditional method.
Highlights
Repair of inguinal hernia in children is the most common and main pediatric surgical modern procedure[6]
Elective pediatric inguinal hernia repair stages are different between surgeons
Most pediatric surgeons incise the external oblique aponeurosis and by specifying the inner ring they release the cord[3]. Another group of pediatric surgeons use another method named Michelle banks. This technique is without incising external oblique aponeurosis, and hernia sac is closed at the outer ring outside of the canal[5]
Summary
Repair of inguinal hernia in children is the most common and main pediatric surgical modern procedure[6]. It requires closing the opened vaginalis processus, in other words, herniotomy. Most pediatric surgeons incise the external oblique aponeurosis and by specifying the inner ring they release the cord[3]. Another group of pediatric surgeons use another method named Michelle banks. This technique is without incising external oblique aponeurosis, and hernia sac is closed at the outer ring outside of the canal[5]. Other studies say that in children under two years the inguinal canal is too short to have separated
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