Rafik Shalaby1 and Mohamed Ahmed Negm2*
1Department of Pediatric Surgery, Al-Azhar University, Cairo, Egypt
2Pediatric Surgery Unit, Qena Faculty of Medicine, South Valley University, Qena, Egypt
*Corresponding Author: Mohamed Ahmed Negm, M.D, Pediatric Surgery Unit, Qena Faculty of Medicine, South Valley University, Qena, Egypt. E-mail: firstname.lastname@example.org
Official E-mail : email@example.com
ORCID ID: https://orcid.org/0000-0003-0633-9147
Received: January 17, 2020; Published: January 29, 2020
Background: Although open inguinal herniotomy is considered the gold standard for inguinal hernia in all pediatric ages, recently laparoscopic repair with different techniques gained popularity and became widely practiced in many centres worldwide and became one of alternative option for inguinal hernia repair in infant and children. This study reported the initial experience of a novel technique of laparoscopic inversion and snaring of inguinal hernial sac with peritoneal closure of defect at the internal inguinal ring [IIR] in girls.
Methods: Thirty-seven girls with inguinal hernia were subjected to laparoscopic inversion, snaring herniotomy with peritoneal closure at IIR. Follow-up period were more than 10 months.
Results: Thirty-seven girls with 55 hernias were included. Mean age was (39.8 ± 18.1 SD) months. Eighteen (48.64%) girls presented with right sided, 8 (21.62%) girls with left sided, and 11 (29.72%) girls were bilateral CIH Intraoperatively, 7 of U/S diagnosed unilateral cases were found to have a contralateral hernia. In 5 (13.5%) patients associated umbilical hernia were present that repaired in the same sitting. There were no perioperative complications and all cases were completed successfully without conversion. The mean operative time in minutes was (19.5 ± 3.1 SD) in bilateral while it was (12.4 ± 1.6 SD) in unilateral cases. Follow up period was ranged from 10 – 33 (Mean 25.02 ± 6.67 SD) months with no detected recurrence among the studied patients.
Conclusion: Laparoscopic inversion and snaring of the hernia sac with closure of the peritoneal defect is a safe, rapid and feasible method for inguinal hernia repair in girls without recurrence.
Keywords: Inversion; Hernia sac; Laparoscopy; Girls; Closure of the Peritoneal Defect; Snaring
Citation: Rafik Shalaby and Mohamed A. Negm. “Laparoscopic Snaring of Hernia Sac for Inguinal Hernia in Girls: A Preliminary Study”. Acta Scientific Paediatrics 4.2 (2020): 02-05.
Copyright: © 2020 HRafik Shalaby and Mohamed Ahmed Negm. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.