Bindey Kumar, MCh, Prem Kumar, MD. All India Institute Of Medical Sciences,Patna
Objective: To present our experience of reducing risk of recurrences in paediatric laparoscopic inguinal hernia repair.
Material and Procedure: The retrospective review includes all case of paediatric laparoscopic inguinal hernia repair(PLIHR) between 2015-2018 at our centre.The surgical technique in which we use to cut the peritoneal cuff proximal to deep inguinal ring(DIR) and then suturing the cut margin led to recurrences of hernia.We modified the technique and after dissection of the sac in the inguinal canal distal to DIR, sac was cut in the inguinal canal and suturing was done.
The cure rate between two procedures was compared by using student t-test for two proportions.
Results: 97 paediatric patients underwent laparoscopic inguinal hernia repair.First technique of cutting the peritoneal cuff proximal to DIR and suturing in first 50 patients had 92% success rate.The modified technique in which sac was cut distal to DIR and suturing had 100% success rate.
Associated anomalies identified in this study were hypospadias,undescended testis,umbilical hernia and hydrocele.
There was no associated injury to vas,adjacent structures or testis.
Conclusion: PLIHR done with cutting the hernial sac distal to DIR and suturing is easy method and had no recurrence.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94907
Program Number: P575
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster