Abstract
Introduction and
Purpose: The aim of this study is to define and discuss the diversity of the tecnique, to determine the results of laparoscopic repair, and to compare with conventional surgical methods in children with recurrent inguinal hernia.Material and
Method: Between 1 January 2011 and 10 August 2011, 5 pediatric patients underwent laparoscopic hernia repair due to recurrent inguinal hernia. The age of patients, data of previous operation, operative time, duration of post-op follow up, and the findings during follow up were recorded from hospital data retrospectively. All the patients have been operated with standard inguinal approach in previous operation. All the patients were male between 1 and 11 years old. After a Veress needle was inserted via a curvilenear incision in the infraumblical region, pneumoperitoneum was created and maintained with 7-12 mm Hg intraabdominal pressure according to the patient’s age. Five or ten mm, zero degree telescope was used via a trocar that was inserted through the first incision. Two working ports; 3 or 5 mm in size inserted on the left and right lower quadrant; respectively. Opening on the internal ring was closed by purse string suture technique using 3.0 silk suture materials. In one of the patients, contralateral hernia did not cause any clinical findings previously was noticed during operation and repaired at the same time.
Results: Operation times ranged 28-52 minutes. Oral feeding was begun 3 hours after the surgery and all patients were discharged after 6 hours from surgery. Two patients were required single dose iv paracetamol for the relief of postoperative pain, others were not required any medication. Mean follow-up duration was 4.8 months (1-7 months) and no complication suc as recurrent inguinal hernia, hydrosel, and testiculer atrophy did not occured during the follow up duration.
Conclusion: In recurrent hernia; laparoscopic repair is easier and safer technique for operation. Additionally, this technique is safer than others, because it protects the structures within the inguinal canal. However, studies with larger series and longer follow-up periods will show the advantage of this technique more clearly
Keywords: Recurrent Inguinal Hernia, laparoscopy, children
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