Evaluation of Laparoscopic Management of Incarcerated Congenital Inguinal Hernia

Document Type : Original Article

Authors

The Department of Surgery, Pediatric Surgery Unit, Faculty of Medicine, Tanta University

Abstract

Abstract
Background: The laparoscopic management of incarcerated congenital inguinal Hernia in children is challenging and may be not devoid of risk. Controversies are still present about its management. Some surgeons prefer immediate repair as emergency even for successfully reduced hernias, others delay the repair for some days.
Aim of Study: The aim of this work is to evaluate the safety and efficacy of emergency laparoscopic management of incarcerated congenital inguinal hernia in children.
Methods: Eleven patients underwent emergency laparo-scopic repair of incarcerated inguinal hernia using burse string sutures around internal inguinal ring.
Results: From August 2017 to January 2019, 11 patients were operated (9 males and 2 females) with a mean age of 8.81±4.26 month. 8 right-sided and 3 left-sided hernias. Two patients with contralateral PPV were diagnosed and operated. All hernias were successfully reduced. The hernia content was: Bowel loops 8 (73%), adnexa/ovary 2 (18%), and appen-dix 1 (9%). The mean operative time was 37.73±6.17 minutes. There were no serious complications except that one patient had port site infection and another patient had ipsilateral hydrocele. No recurrence occurred during the follow-up period.
Conclusion: Emergency laparoscopic repair of congenital inguinal hernia provide an alternative procedure in pediatric patients presenting with incarcerated hernia. It appears to be feasible, safe and effective with few complications.

Keywords

The Medical Journal of Cairo University
Volume 87, September
September 2019
Pages 3549-3554

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