Two ports laparoscopic inguinal hernia repair in children.

Medhat Ibrahim, MD. RCMC

Introduction: Several laparoscopic treatment techniques have developed over the last two decades, designed for improving the outcome. The various techniques differ in their approach to the inguinal internal ring, suturing and knotting techniques, number of ports used in the procedures, endoscopic instruments used, and mode of dissection of the hernia sac, extracorporeal and intracorporeal suturing and knotting techniques.

Patients and Surgical Technique: From April 2009 to April 2013, 90 children were subjected to surgery and Undergone two port laparoscopic repair of inguinal hernia in children. Technique feasibility in relation to others modalities of repair was the aim of this work. 90 children including 75 males and 15 females underwent surgery. Hernia in 55 cases was right-sided and in 15 left-sided. Two patients were recurrent hernia following open hernia repair. 70(77.7%) cases were suffering unilateral hernia and 20(22.2%) patients had bilateral hernia. Out of the 20 cases 5 cases were diagnosed by laparoscope (25%) The patient’s median age was 18 months. The mean operative time for unilateral repairs was (15 to 20 minutes) and bilateral was (21 to 30 minutes). There was no conversion. The complications were, one case was recurrent right inguinal hernia and second was stitch sinus.

Discussion: The results confirm the safety and efficacy of two ports laparoscopic hernia repair in congenital inguinal hernia in relation to other modalities of treatment.

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