Reduction of recurrence by peritoneal thermal injury in laparoscopic percutaneous extraperitoneal closure of internal ring for inguinal hernia in children

Purpose To evaluate the impact of peritoneal thermal injury (PTI) in the reduction of recurrence incidence in laparoscopic percutaneous extra-peritoneal closure of internal ring (LPEC) for pediatric inguinal hernia (PIH) in children. Methods Medical records of patients undergoing LPEC for PIH at our...

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Bibliographic Details
Published in:Pediatric surgery international 2023-02, Vol.39 (1), p.121-121, Article 121
Main Authors: Son, Tran N., Bao, Hoang V., Van, Nguyen T. H.
Format: Article
Language:English
Subjects:
Abdomen
Child
Children & youth
Cryptorchidism
Gender
Girls
Granulomas
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy - adverse effects
Herniorrhaphy - methods
Hospitals
Humans
Iatrogenesis
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Ligaments
Male
Medicine
Medicine & Public Health
Original Article
Pediatric Surgery
Pediatrics
Plastic Surgery Procedures
Recurrence
Retrospective Studies
Surgery
Treatment Outcome
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Summary:Purpose To evaluate the impact of peritoneal thermal injury (PTI) in the reduction of recurrence incidence in laparoscopic percutaneous extra-peritoneal closure of internal ring (LPEC) for pediatric inguinal hernia (PIH) in children. Methods Medical records of patients undergoing LPEC for PIH at our center were reviewed and divided into 2 groups: Group A (period from June 2017 to December 2017)—without PTI and Group B (period from January 2018 to December 2018) with PTI. The surgical technique and the type of suture used for LPEC were the same for both groups. The outcomes of the two groups were analyzed and compared. Results 277 patients with 283 IHs in group A were compared to 376 patients with 389 IHs in group B. There were no significant differences between the two groups in terms of age, gender, uni- or bilateral hernia. At a median follow-up period of 48 months, there was no hydrocele, suture granuloma, testicular atrophy, or iatrogenic cryptorchidism in both groups. The recurrence rate in group A was 6.4%, significantly higher than 1.8% in group B ( p  = 0.002). Conclusions Our study showed that PTI in LPEC for PIH is safe and associated with a significant reduction of recurrence incidence.
ISSN:1437-9813
0179-0358
1437-9813
DOI:10.1007/s00383-023-05412-2