Comparative Study between Laparoscopic-Assisted Percutaneous Internal Ring Ligation for Inguinal Hernia Repair and Traditional Laparoscopic Herniotomy in Pediatrics | ||
| Zagazig University Medical Journal | ||
| Article 44, Volume 30, Issue 9, December 2024, Pages 4716-4723 PDF (934.81 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2024.271407.3200 | ||
| Authors | ||
| Hesham M. Ali; Hasnaa Khalid Mohamed* ; Tarek Gobran; Wael Mohamed Elshahat; Omar Atef Elekiabi; Ashraf Abdelmonaem | ||
| Pediatric surgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||
| Abstract | ||
| Background: One of the surgical procedures most commonly done on newborns and young children is a repair of an inguinal hernia. This condition can be treated with a laparoscopic procedure or a traditional open treatment. Objective: This study aimed to evaluate the outcome of laparoscopic repair of pediatric inguinal hernia. Patients and methods: This prospective study was carried out on 24 patients with inguinal hernia who underwent laparoscopic hernia repair at Pediatric Surgery department, Zagazig University Hospital. Patients divided into: group A performed traditional laparoscopic inguinal herniotomy, and group A who undergo laparoscopic-assisted percutaneous internal ring ligation. Intra-and postoperative complications, postoperative stay, cosmesis, the size and vascularity of testis were recorded and compared for differences in the outcome. Results: Duration of operation was significantly shorter in group A procedure compared to Group B procedure. Duration of unilateral hernia operation is significantly shorter compared to bilateral hernia in both procedures. There was significantly lower VAS pain score in group A compared to group B. Duration of hospital stay was shorter in group A compared to group B. There was no difference regarding occurrence of complications in both procedure, p>0.05. There was a significant difference in cosmotic outcome in group A, compared to group B, in favor group A. Conclusion: When compared to the conventional laparoscopic inguinal herniotomy, the laparoscopic aided percutaneous internal ring ligation is thought to be a new, minimally invasive, safe, simple, and quick procedure. | ||
| Keywords | ||
| Inguinal Hernia Repair; Traditional Laparoscopic Herniotomy; Pediatrics | ||
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