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Article: Technical refinements in laparoscopic repair of childhood inguinal hernias

TitleTechnical refinements in laparoscopic repair of childhood inguinal hernias
Authors
Issue Date2004
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy, 2004, v. 18 n. 6, p. 957-960 How to Cite?
AbstractBackground: This Study Aimed To Evaluate The Laparoscopic Repair Of Childhood Hernias And To Identify Technical Refinements For Improvements. Methods: The Records Of 49 Boys And 13 Girls Who Underwent Laparoscopic Hernia Repair In The Authors' Institution Between July 2002 And July 2003 Were Reviewed. Their Mean Age Was 4.5 Years (Range, 3 Months To 15 Years). No Hernia Opening Was Found In Two Patients, Whereas 17 Bilateral Hernias (28%, 17/60) Were Found Laparoscopically. Two Bilateral Hernias Were Diagnosed Preoperatively. Four Patients Had The Operation For Recurrent Hernias After Open Procedures. Results: Over A Mean Follow-Up Period Of 7.5 Months (Range, 3-15 Months), There Was One Recurrence (1%, 1/79), But No Other Complication. With Saline Injection Administered Extraperitoneally, Laparoscopic Hernia Repair Can Be Performed Safely For Boys. Use Of The "Needle" Sign Avoided Damage To The Testicular Vessel And Vas. Placement Of The Needle Medial To A Prominent Inferior Epigastric Artery And The Presence Of A "Complete Ring" Sign Prevented Recurrence. The Use Of Reusable 3-Mm Ports And Round Polypropylene Stitches Lowered The Cost Of The Operation And Improved The Cosmesis For The Patients. For Recurrent Hernias After Open Repair, The Laparoscopic Method Was As Simple As Fresh Hernia Repair. Conclusions: Laparoscopic Hernia Repair Allows Detection And Repair Of Contralateral Hernias During The Same Operation. With Refinements In Technique, The Procedure Can Be Safely Performed For Boys, With The Added Advantages Of Lower Costs, Fewer Recurrences, And Improved Cosmesis.
Persistent Identifierhttp://hdl.handle.net/10722/84179
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, KLen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:49:53Z-
dc.date.available2010-09-06T08:49:53Z-
dc.date.issued2004en_HK
dc.identifier.citationSurgical Endoscopy, 2004, v. 18 n. 6, p. 957-960en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84179-
dc.description.abstractBackground: This Study Aimed To Evaluate The Laparoscopic Repair Of Childhood Hernias And To Identify Technical Refinements For Improvements. Methods: The Records Of 49 Boys And 13 Girls Who Underwent Laparoscopic Hernia Repair In The Authors' Institution Between July 2002 And July 2003 Were Reviewed. Their Mean Age Was 4.5 Years (Range, 3 Months To 15 Years). No Hernia Opening Was Found In Two Patients, Whereas 17 Bilateral Hernias (28%, 17/60) Were Found Laparoscopically. Two Bilateral Hernias Were Diagnosed Preoperatively. Four Patients Had The Operation For Recurrent Hernias After Open Procedures. Results: Over A Mean Follow-Up Period Of 7.5 Months (Range, 3-15 Months), There Was One Recurrence (1%, 1/79), But No Other Complication. With Saline Injection Administered Extraperitoneally, Laparoscopic Hernia Repair Can Be Performed Safely For Boys. Use Of The "Needle" Sign Avoided Damage To The Testicular Vessel And Vas. Placement Of The Needle Medial To A Prominent Inferior Epigastric Artery And The Presence Of A "Complete Ring" Sign Prevented Recurrence. The Use Of Reusable 3-Mm Ports And Round Polypropylene Stitches Lowered The Cost Of The Operation And Improved The Cosmesis For The Patients. For Recurrent Hernias After Open Repair, The Laparoscopic Method Was As Simple As Fresh Hernia Repair. Conclusions: Laparoscopic Hernia Repair Allows Detection And Repair Of Contralateral Hernias During The Same Operation. With Refinements In Technique, The Procedure Can Be Safely Performed For Boys, With The Added Advantages Of Lower Costs, Fewer Recurrences, And Improved Cosmesis.en_US
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_US
dc.relation.ispartofSurgical Endoscopyen_HK
dc.titleTechnical refinements in laparoscopic repair of childhood inguinal herniasen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=18&issue=6&spage=957&epage=960&date=2004&atitle=Technical+refinements+in+laparoscopic+repair+of+childhood+inguinal+herniasen_HK
dc.identifier.emailChan, KL: klchan@HKUCC.hku.hken_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.doi10.1007/s00464-003-8263-1en_US
dc.identifier.pmid15095082-
dc.identifier.scopuseid_2-s2.0-2642576492en_US
dc.identifier.hkuros89305en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-2642576492&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume18en_US
dc.identifier.issue6en_US
dc.identifier.spage957en_US
dc.identifier.epage960en_US
dc.identifier.isiWOS:000223341200013-

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