Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

Chang Hun Lee; Yoon Jung Boo; Eun Hee Lee

doi:10.13029/jkaps.2014.20.2.23

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Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

Chang Hun Lee¹, Yoon Jung Boo¹, Eun Hee Lee²

Journal of the Korean Association of Pediatric Surgeons 2014;20(2):23-27.
Published online: December 30, 2014

DOI: https://doi.org/10.13029/jkaps.2014.20.2.23

¹Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.

²Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.

Correspondence: Yoon Jung Boo, Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, 73, Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea. Tel: +82-2-920-6844, Fax: +82-2-928-1631, drboo@korea.ac.kr

• Received: August 5, 2014 • Revised: August 25, 2014 • Accepted: September 6, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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ABSTRACT
NOTES
REFERENCES

ABSTRACT

Purpose
Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy.
Methods
Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated.
Results
The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period.
Conclusion
The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.
Keywords: Inguinal hernia; Child; Laparoscopy; Hernia repair

NOTES

The abstract of this article was presented at the 65th Congress of the Korean Surgical Society, Seoul, Korea, November 21-23, 2013.

No potential conflict of interest relevant to this article was reported.

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Table 1

Patients' Demographics and Preoperative Characteristics

Values are presented as n, ratio, mean (range), or mean±SD.

Table 2

Number of Contralateral Patent Processus Vaginalis (cPPV)

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Short-term outcomes of pediatric laparoscopic inguinal hernia repair in Korea based on Korean Health Insurance Big Data: 2011–2015
J. W. Park, H. Y. Jang, G. W. Kang
Hernia.2021; 25(1): 205. CrossRef

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Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

J Korean Assoc Pediatr Surg. 2014;20(2):23-27. Published online December 30, 2014

DOI: https://doi.org/10.13029/jkaps.2014.20.2.23

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Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

J Korean Assoc Pediatr Surg. 2014;20(2):23-27. Published online December 30, 2014

DOI: https://doi.org/10.13029/jkaps.2014.20.2.23

Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

Table 1

Patients' Demographics and Preoperative Characteristics

Values are presented as n, ratio, mean (range), or mean±SD.

Table 2

Number of Contralateral Patent Processus Vaginalis (cPPV)

Table 1 Patients' Demographics and Preoperative Characteristics

Values are presented as n, ratio, mean (range), or mean±SD.

Table 2 Number of Contralateral Patent Processus Vaginalis (cPPV)

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Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

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