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Original Article

Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

Chang Hun Lee1, Yoon Jung Boo1, Eun Hee Lee2
Journal of the Korean Association of Pediatric Surgeons 2014;20(2):23-27.
Published online: December 30, 2014

1Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.

2Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.

Correspondence: Yoon Jung Boo, Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, 73, Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea. Tel: +82-2-920-6844, Fax: +82-2-928-1631, drboo@korea.ac.kr
• Received: August 5, 2014   • Revised: August 25, 2014   • Accepted: September 6, 2014

Copyright © 2014 by the Korean Association of Pediatric Surgeons

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy.
  • Methods
    Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated.
  • Results
    The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period.
  • Conclusion
    The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.
  • Keywords: Inguinal hernia; Child; Laparoscopy; Hernia repair

The abstract of this article was presented at the 65th Congress of the Korean Surgical Society, Seoul, Korea, November 21-23, 2013.

No potential conflict of interest relevant to this article was reported.

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Table 1
Patients' Demographics and Preoperative Characteristics

Values are presented as n, ratio, mean (range), or mean±SD.

jkaps-20-23-i001.jpg
Table 2
Number of Contralateral Patent Processus Vaginalis (cPPV)
jkaps-20-23-i002.jpg

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Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study
J Korean Assoc Pediatr Surg. 2014;20(2):23-27.   Published online December 30, 2014
DOI: https://doi.org/10.13029/jkaps.2014.20.2.23
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study
J Korean Assoc Pediatr Surg. 2014;20(2):23-27.   Published online December 30, 2014
DOI: https://doi.org/10.13029/jkaps.2014.20.2.23
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Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study
Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study

Patients' Demographics and Preoperative Characteristics

Values are presented as n, ratio, mean (range), or mean±SD.

Number of Contralateral Patent Processus Vaginalis (cPPV)

Table 1 Patients' Demographics and Preoperative Characteristics

Values are presented as n, ratio, mean (range), or mean±SD.

Table 2 Number of Contralateral Patent Processus Vaginalis (cPPV)

Table 1

Table 2

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