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Article: Towards a near-zero recurrence rate in laparoscopic inguinal hernia repair for pediatric patients of all ages

TitleTowards a near-zero recurrence rate in laparoscopic inguinal hernia repair for pediatric patients of all ages
Authors
KeywordsInguinal hernia
Laparoscopy
Recurrence
Issue Date2007
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 2007, v. 42 n. 12, p. 1993-1997 How to Cite?
AbstractBackground/Purpose: The recurrence rate in laparoscopic inguinal hernia (LIH) repair remains high. The aim of this study was to assess whether the introduction of technical improvements, including (1) decreasing tension on the purse-string knot when closing the internal hernia opening by injecting normal saline extraperitoneally, (2) using an airtight knot, and (3) stress-testing the airtightness of the knot by increasing intraperitoneal gas pressure, could eliminate recurrence in LIH repair in pediatric patients of all ages. Methods: A retrospective review was performed of the prospectively collected data of 451 LIH repairs in 314 children of various ages in our institution from September 2002 to September 2006. The technical improvements mentioned above to prevent recurrence were introduced in the second half of the series of operations (tensionless repair [TL]). The data on both groups of operations were then compared. Results: A total of 225 hernias were repaired in the first group (164 patients), compared with 226 in the TL group (150 patients). The differences between the ratio of boys to girls (129:35 vs 112:38) and the mean ages (50.84 ± 48.15 vs 45.59 ± 47.95 m) in the 2 groups were not statistically significant. The recurrence rate in the TL group was much lower than in the first group (0.4% vs 4.88%, P = .003). There was no postoperative testicular atrophy in either group of patients. Conclusion: It is possible to achieve a near-zero recurrence rate in laparoscopic hernia repair in pediatric patients of all ages. © 2007 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/83644
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KLen_HK
dc.contributor.authorChan, HYen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:43:29Z-
dc.date.available2010-09-06T08:43:29Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 2007, v. 42 n. 12, p. 1993-1997en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83644-
dc.description.abstractBackground/Purpose: The recurrence rate in laparoscopic inguinal hernia (LIH) repair remains high. The aim of this study was to assess whether the introduction of technical improvements, including (1) decreasing tension on the purse-string knot when closing the internal hernia opening by injecting normal saline extraperitoneally, (2) using an airtight knot, and (3) stress-testing the airtightness of the knot by increasing intraperitoneal gas pressure, could eliminate recurrence in LIH repair in pediatric patients of all ages. Methods: A retrospective review was performed of the prospectively collected data of 451 LIH repairs in 314 children of various ages in our institution from September 2002 to September 2006. The technical improvements mentioned above to prevent recurrence were introduced in the second half of the series of operations (tensionless repair [TL]). The data on both groups of operations were then compared. Results: A total of 225 hernias were repaired in the first group (164 patients), compared with 226 in the TL group (150 patients). The differences between the ratio of boys to girls (129:35 vs 112:38) and the mean ages (50.84 ± 48.15 vs 45.59 ± 47.95 m) in the 2 groups were not statistically significant. The recurrence rate in the TL group was much lower than in the first group (0.4% vs 4.88%, P = .003). There was no postoperative testicular atrophy in either group of patients. Conclusion: It is possible to achieve a near-zero recurrence rate in laparoscopic hernia repair in pediatric patients of all ages. © 2007 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.subjectInguinal herniaen_HK
dc.subjectLaparoscopyen_HK
dc.subjectRecurrenceen_HK
dc.titleTowards a near-zero recurrence rate in laparoscopic inguinal hernia repair for pediatric patients of all agesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=42&spage=1993&epage=1997&date=2007&atitle=Towards+a+near-zero+recurrence+rate+in+laparoscopic+inguinal+hernia+repair+for+pediatric+patients+of+all+agesen_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jpedsurg.2007.08.014en_HK
dc.identifier.pmid18082694-
dc.identifier.scopuseid_2-s2.0-36849044082en_HK
dc.identifier.hkuros139566en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-36849044082&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume42en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1993en_HK
dc.identifier.epage1997en_HK
dc.identifier.isiWOS:000252229900004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, KL=36849044082en_HK
dc.identifier.scopusauthoridChan, HY=23033742900en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK

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