EVALUATING EFFECTIVENESS OF NEW METHOD OF LAPAROSCOPIC TREATMENT OF INCARCERATED INGUINAL AND INGUINAL-SCROTAL HERNIAS IN CHILDREN
https://doi.org/10.24060/2076-3093-2017-7-3-43-47
Abstract
Introduction. Congenital inguinal hernia is a common pediatric surgical disease. It is traditionally treated by open herniotomy with high ligation of the hernia sac. To date despite the technical capabilities the incarcerated inguinal and inguinal-scrotal hernias are a contraindication to laparoscopic surgery, and in the available literature there is no information about using endovideolaparoscopic method to treat this pathology in children. In this context, the main objective of this work is to develop a method of laparoscopic treatment of incarcerated inguinal and inguinal-scrotal hernias in children. Materials and methods. The paper presents the results of the diagnosis and laparoscopic treatment of 23 children aged 1 month to 3 years, with incarcerated inguinal and inguinal-scrotal hernias, that has been carried out at the clinic of Pediatric Surgery of BSMU based at City Children Clinical Hospital №17 in UFA in the period 2002-2016 with original method of endovideosurgical dis-incarceration with simultaneous plasty of hernia orifice. Results. According to the results of the analysis the average operation time was 25±4.2 min. The method facilitated early activation and early enteral meal. There were no local complications in aftercare period by trocar wounds, the stitches were removed on the 5th day. The average duration of hospitalization was 6 days. Long-term results through 3 and 6 months have demonstrated the absence of any asymmetry of the groin, tightness of the testicle, increased or reduced testicle volume. Conclusion. Thus, the findings show that laparoscopic hernioplasty for inguinal and inguinal-scrotal hernia, is a new technique and it gives opportunity to solve this problem in children at a whole new level.
About the Authors
Azat M. Mukhametzyanov
Bashkir State Medical University; City Children Clinical Hospital № 17.
Russian Federation
Russian Federation
Mukhametzyanov Azat Munirovich – Chief Doctor at Republic of Bashkortostan State Budgetary Healthcare Institution City Children Clinic Hospital №17, Doctor of Medical Sciences, Associate Professor, Head of the Epidemiology Department of Federal State Budgetary Educational Institution of Higher Education Bashkir State Medical University of Russian Healthcare.
Ufa.
Vladimir G. Alyangin
Bashkir State Medical University.
Russian Federation
Russian Federation
Alyangin Vladimir Grigorevich – Doctor of Medical Sciences, Associate Professor of the Pediatric Surgery Department with the course of Additional Professional Education Institution of Federal State Budgetary Educational Institution of Higher Education Bashkir State Medical University of Russian Healthcare.
Ufa.
Robert N. Akbashev
City Children Clinical Hospital № 17.
Russian Federation
Russian Federation
Akbashev Robert Nagimzyanovich – Candidate of Medical Sciences, Chair of the Endoscopy Department at “Gastroenterology Centre” of “Endomed” company.
Ufa.
Adik A. Salimgareev
City Children Clinical Hospital № 17.
Russian Federation
Russian Federation
Salimgareev Adik Adisovich – Candidate of Medical Sciences, Chair of the Endoscopy Department at Republic of Bashkortostan State Budgetary Healthcare Institution City Children Clinic Hospital № 17.
Ufa.
References
1. Holcomb GW, Miller KA, Chaignaud BE, Shew SB, Ostlie DJ. The parental perspective regarding the contralateral inguinal region in a child with a known unilateral inguinal hernia. J Pediatr Surg. 2004;39:4802. PMID: 15017573.
2. Shalaby R, IsmailM, Samaha A, Yehya A, Ibrahem R, Gouda S, et al. Laparoscopic inguinal hernia repair; experience with 874 children. J Pediatr Surg. 2014;49(3):460-4. DOI: 10.1016/j. jpedsurg.2013.10.019.
3. Притула ВП, Поворознюк ВС, Максакова ИС, Рыбальченко ИГ. Синдром отечной и увеличенной мошонки у новорожденных и детей раннего возраста: вопросы диагностики и лечения. Хирургия детского возраста. 2015;(1-2):88-94. [Prytula VP, Povorozniuk VS, Maksakova IS, Rybalchenko IG. Syndrome of edematic and enlarged scrotum in infants and young children: problems of diagnosis and treatment. Paediatric Surgery. 2015;(1-2):88-94 (in Russ.)].
4. Притула ВП, Рыбальченко ИГ. Диагностика и лечение пахово-мошоночных грыж у новорожденных детей. Патологiя. 2015;(2):48-51. [Prytula VP, Rybalchenko IG. Diagnosis and treatment of inguinalscrotal hernias in infants. Pathology. 2015;(2):48-51 (in Ukraine)].
5. Лапшин ВИ, Разин МП, Смирнов АВ, Батуров МА. Врожденная прямая паховая грыжа у ребенка. Детская хирургия. 2017;21(1):52-53. [Lapshin VI, Razin MP, Smirnov AV, Baturov MA. Congenital direct inguinal hernia in a child. Detskaya Khirurgiya=Russian Journal of Pediatric Surgery. 2017;21(1):52-53 (in Russ.)]. DOI: 10.18821/1560-9510-2017-21-1-52-53.
6. Chan YY, Durbin-Johnson B, Kurzrock EA. Pediatric inguinal and scrotal surgery - Practice patterns in U.S. academic centers. J Pediatr Surgy. 2016;51(11):17861790. DOI: 10.1016/j.jpedsurg.2016.07.019.
7. Ksia A, Braiki M, Ouaghnan W, Sfar S, Ammar S, Youssef SB, et al. Male gender and prematurity are risk factors for incarceration in pediatric inguinal hernia. A study of 922 children. J Ind Ass Pediatr Surg. 2017;22(3):139-143. DOI: 10.4103/jiaps.JIAPS_166_16.
8. Esposito C, Escolino M, Cortese G, Aprea G, Turra F, Farina A, et al. Twenty-year experience with laparoscopic inguinal hernia repair in infants and children: considerations and results on 1833 hernia repairs. Surg Endosc. 2017;31(3):1461-1468. DOI: 10.1007/s00464-016-5139-8.
9. Esposito C, St Peter SD, Escolino M, Juang D, Settimi A, Holcomb GW 3rd. Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J Laparoendosc Adv Surg Tech A. 2014;24(11):811-8. DOI: 10.1089/lap.2014.0194.
10. Bertozzi M, Magrini E, Appignani A. Preliminary experience with laparoscopic repair of associated inguinal and umbilical hernias in children. Hernia. 2015;19(4):617-21. DOI: 10.1007/s10029-014-1271-3
11. Lobe TE, Schropp KP. Inguinal hernias in pediatrics: initial experience with laparoscopic inguinal exploration of the asymptomatic contralateral side. J Laparoendosc Surg. 1992;2(3):135-40. PMID: 1535806.
12. Lee Y, Liang J. Experience with 450 cases of microlaparoscopic herniotomy in infants and children. Pediatr Endosurg Innov Tech. 2002;6(1):25-8. DOI: 10.1089/10926410252832410.
13. Schier F, Montupet P, Esposito C. Laparoscopic inguinal herniorrhaphy in children: a threecenter experience with 933 repairs. J Pediatr Surg. 2002;37(3):395-7. PMID:11877655.
14. Clarke S. Pediatric inguinal hernia and hydrocele: an evidence-based review in the era of minimal access surgery. J Laparoendosc Adv Surg Tech A. 2010;20(3):305-9. DOI: 10.1089/lap.2010.9997.
15. Boo YJ, Han HJ, Ji WB, Li JS. Laparoscopic hernia sac transection and Intracorporeal ligation show very low recurrence rate in pediatric inguinal hernia. J Laparoendosc Adv Surg Tech A. 2012;22(7):720-3. DOI: 10.1089/lap.2012.0040.
16. Garcöa-Hernöndez C, Carvajal F, SuarezGutiörrez R, Landa-Juörez S. Laparoscopic approach for inguinal hernia in children: resection without suture. J Pediatr Surg. 2012;47(11):2093-5. DOI: 10.1016/j. jpedsurg.2012.06.026.
17. Abd-Alrazek M, Alsherbiny H, Mahfouz M, Alsamahy O, Shalaby R, Shams A, et al. Laparoscopic pediatric inguinal hernia repair: a controlled randomized study. J Pediatr Surg. 2017. [Epub ahead of print]. DOI: 10.1016/j.jpedsurg.2017.07.003.
18. Викторов ВВ, Юлдашев МТ, Алянгин ВГ, Салимгареев АА, Акбашев РН, Макушин АА, Садретдинов ММ. Способ эндохирургического лечения ущемленных паховых и пахово-мошоночных грыж у детей. Патент 2253377 Российская Федерация от 10.06.2005. [Viktorov VV, Uldashev MT, Alyangin VG, Salimgareev AA, Akbashev RN, Sadretdinov MM. Method for endosurgical treatment of incarcerated inguinal hernias and hernioscrotal hernias in children. Russian Federation patent 2253377. 2005 June 10 (in Russ.)].
Review
For citations:
Mukhametzyanov A.M., Alyangin V.G., Akbashev R.N., Salimgareev A.A. EVALUATING EFFECTIVENESS OF NEW METHOD OF LAPAROSCOPIC TREATMENT OF INCARCERATED INGUINAL AND INGUINAL-SCROTAL HERNIAS IN CHILDREN. Creative surgery and oncology. 2017;7(3):43-47. (In Russ.) https://doi.org/10.24060/2076-3093-2017-7-3-43-47
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