PO-0910 Laparoscopic Inguinal Hernia Repair In Children: Clinical Evaluation Of 46 Cases

Abstract

<h3>Background</h3> Laparoscopic inguinal hernia repair in children tend to be performed routinely, with some advantages compared to conventional repair. <h3>Aims</h3> The paper aims to assess the cases of inguinal hernia repair by laparoscopic procedure in 2 clinics of paediatric surgery from the country in the last 3 years. <h3>Methods</h3> Were studied restrospectively the medical records from these patients. <h3>Results</h3> Out of the 46 cases, 60,8% were younger than 7 years, 41,30% were originated from urban environment; 27 cases were bilateral inguinal hernia; 14 presented various preoperative status/comorbidities (occlusive intestinal syndrome, acute dehydration, visceral adherence), 8 various surgical complications (bleeding, anaemia, scrotal swelling); the average length of stay was 3,69 days. Laparoscopic repair was significantly more frequent in patient younger than 7 years from urban environment (p 0,001), but also with significantly more frequent comorbidities (p 0,04) and post surgical complications (p 0,003). Unilateral inguinal hernia develop fewer complications (p 0,03) and require a shorter length of stay (p 0,008). The patients without comorbidities presented a significant shorter length of stay (p 0,05). The absence of surgical complications shortened significantly the lengh of stay (p 0,01). <h3>Conclusions</h3> Laparoscopic inguinal hernia repair may be considered a safe procedure, with fewer complications and shorten length of stay.