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Conference Paper: Laparoscopic assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle: a handy single-port laparoscopic herniorrhaphy in children

TitleLaparoscopic assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle: a handy single-port laparoscopic herniorrhaphy in children
Authors
Issue Date2014
Citation
The 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014. How to Cite?
AbstractBACKGROUND/PURPOSE: We describe our modifications of laparoscopic assisted simple suturing obliteration (LASSO) using an epidural needle with preperitoneal hydrodissection, which confer greater ease, safety, speed, and success to this procedure. METHODS: Under laparoscopic visualization through a single umbilical port, an 18-gauge epidural needle was inserted at the point of the internal ring. The orifice of the hernia defect was obliterated extraperitoneally by a non-absorbable suture that was introduced and withdrawn through the epidural needle around the internal ring using the hydrodissection-lasso technique. RESULTS: A total of 251 inguinal repairs were performed by LASSO in 207 children.163 patients had unilateral inguinal hernia repairs and 44 patients underwent repair of bilateral inguinal hernias. Mean operating time for unilateral and bilateral inguinal hernia repairs were 18.1 A±5.4 min and 26.6 A± 4.8 min, respectively. There were no intra-operative complications and no recurrences at mean follow-up of 17 months. No other complications (wound infection, suture granuloma formation, hydrocele) were found postoperatively. CONCLUSIONS: LASSO using an epidural needle with preperitoneal hydrodissection as a handy technique has proved to be a safe and effective in the treatment of inguinal hernia in children. It is easy to perform and therefore is a worthy choice for PIH.
DescriptionOral Presentations - MIS/Robotics (MIS): no. MIS13
Persistent Identifierhttp://hdl.handle.net/10722/198210

 

DC FieldValueLanguage
dc.contributor.authorLi, SLen_US
dc.contributor.authorWong, KKYen_US
dc.date.accessioned2014-06-25T02:54:47Z-
dc.date.available2014-06-25T02:54:47Z-
dc.date.issued2014en_US
dc.identifier.citationThe 47th Annual Scientific Meeting of the Pacific Association of Pediatric Surgeons (PAPS 2014), Banff, AB., Canada, 25-29 May 2014.en_US
dc.identifier.urihttp://hdl.handle.net/10722/198210-
dc.descriptionOral Presentations - MIS/Robotics (MIS): no. MIS13-
dc.description.abstractBACKGROUND/PURPOSE: We describe our modifications of laparoscopic assisted simple suturing obliteration (LASSO) using an epidural needle with preperitoneal hydrodissection, which confer greater ease, safety, speed, and success to this procedure. METHODS: Under laparoscopic visualization through a single umbilical port, an 18-gauge epidural needle was inserted at the point of the internal ring. The orifice of the hernia defect was obliterated extraperitoneally by a non-absorbable suture that was introduced and withdrawn through the epidural needle around the internal ring using the hydrodissection-lasso technique. RESULTS: A total of 251 inguinal repairs were performed by LASSO in 207 children.163 patients had unilateral inguinal hernia repairs and 44 patients underwent repair of bilateral inguinal hernias. Mean operating time for unilateral and bilateral inguinal hernia repairs were 18.1 A±5.4 min and 26.6 A± 4.8 min, respectively. There were no intra-operative complications and no recurrences at mean follow-up of 17 months. No other complications (wound infection, suture granuloma formation, hydrocele) were found postoperatively. CONCLUSIONS: LASSO using an epidural needle with preperitoneal hydrodissection as a handy technique has proved to be a safe and effective in the treatment of inguinal hernia in children. It is easy to perform and therefore is a worthy choice for PIH.-
dc.languageengen_US
dc.relation.ispartof47th PAPS Annual Scientific Meeting 2014en_US
dc.titleLaparoscopic assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle: a handy single-port laparoscopic herniorrhaphy in childrenen_US
dc.typeConference_Paperen_US
dc.identifier.emailWong, KKY: kkywong@hku.hken_US
dc.identifier.authorityWong, KKY=rp01392en_US
dc.identifier.hkuros229593en_US

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