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Laparoscopic totally extraperitoneal ligation for pediatric inguinal hernia: a novel surgical treatment

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Author(s)
Eun-jung KooEunyoung Jung
Keimyung Author(s)
Koo, Eun JungJung, Eun Young
Department
Dept. of Surgery (외과학)
Journal Title
Surg Endosc
Issued Date
2022
Volume
36
Issue
2
Keyword
Inguinal herniaPediatricsChildHerniorrhaphyTotally extraperitonealLaparoscopy
Abstract
Background:
Laparoscopic repair is widely performed for the management of pediatric inguinal hernia (PIH), and different laparoscopic surgical methods are used. Herein, we present the application of laparoscopic totally extraperitoneal ligation (TEPL), which is a novel surgical method for PIH repair and is similar to traditional high ligation.

Methods:
In this study, 103 pediatric patients underwent laparoscopic TEPL for inguinal hernia. Data including demographic characteristics, clinical presentation, time of surgery, length of hospital stay, and postoperative complications were analyzed retrospectively.

Results:
The patient's median age at surgery was 4.3 years, and the median body weight at surgery was 18 kg. The preoperative diagnoses were as follows: n = 53, right inguinal hernia; n = 45, left inguinal hernia; and n = 5, bilateral inguinal hernia. All patients were discharged on the day of surgery. The operative times were 27.2 min for unilateral inguinal hernia and 28.8 min for bilateral inguinal hernia. All patients, except one who had scrotal bruise, did not present with postoperative complications.

Conclusions:
Laparoscopic TEPL, which is similar to traditional high ligation, is used for the treatment of PIH. Moreover, it is safe, beneficial, and feasible. Double ligation is performed on the extraperitoneal space, and the assessment of contralateral patent processus vaginalis is not complex. However, further studies should be conducted to assess for long-term outcomes.
Keimyung Author(s)(Kor)
구은정
정은영
Publisher
School of Medicine (의과대학)
Citation
Eun-jung Koo and Eunyoung Jung. (2022). Laparoscopic totally extraperitoneal ligation for pediatric inguinal hernia: a novel surgical treatment. Surg Endosc, 36(2), 1320–1325. doi: 10.1007/s00464-021-08408-y
Type
Article
ISSN
1432-2218
Source
https://link.springer.com/article/10.1007/s00464-021-08408-y
DOI
10.1007/s00464-021-08408-y
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43992
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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