PMID- 31898599
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240327
IS  - 0972-9941 (Print)
IS  - 1998-3921 (Electronic)
IS  - 1998-3921 (Linking)
VI  - 16
IP  - 1
DP  - 2020 Jan-Mar
TI  - Outcomes of laparoscopic incarcerated inguinal hernia repair in children.
PG  - 1-4
LID - 10.4103/jmas.JMAS_84_19 [doi]
AB  - AIM: Laparoscopic inguinal hernia repair (LIHR) is gaining widespread acceptance, 
      but its role in the management of incarcerated cases is not well outlined. This 
      review analyses the outcomes of laparoscopic repair of incarcerated inguinal 
      hernia in children. PATIENTS AND METHODS: Literature was searched on PubMed((R)) 
      using terms 'laparoscopic', 'incarcerated', 'inguinal', 'hernia' and 'children'. 
      Age, sex, side, sac content, operative technique, follow-up period, complication 
      and recurrence rate were analysed. RESULTS: Fifteen articles with 689 paediatric 
      incarcerated inguinal hernias were identified between 1998 and 2018. Median age 
      of patients was 22.4 months (2 weeks-16 years; M:F = 2.2:1). Side was mentioned 
      in n = 576: n = 398 (69.1%) right and n = 178 (30.9%) left. In n = 355 (51.5%) 
      manual reduction and delayed surgery (MRDS), in n = 34 (4.9%) manual reduction in 
      general anaesthesia (MRGA) followed by emergency LHR and in n = 300 (43.5%) 
      intraoperative reduction (IOR) was necessary. Incarcerated contents were 
      documented in n = 68: intestine n = 36 (52.9%), ovary n = 14 (20.6%), omentum n = 
      11 (16.2%), appendix n = 5 (7.4%) and Meckel's diverticulum n = 2 (2.9%). Among 
      the n = 18 girls in IOR group, n = 14 (77.8%) had ovaries incarcerated. For LHR, 
      the hook method was used in 376 (54.6%) and purse-string suture in 313 (45.4%), 
      with two conversions in IOR group. Mean followup was 15 months (3-80 months), 
      with one (0.15%) testicular atrophy, and 4 (0.58%) recurrences in MRDS and 1 
      (0.15%) in IOR. All five cases were closed with pursestring technique. Total 
      recurrence rate was 0.73%; significantly higher (P = 0.014) with pursestring (n = 
      5, 1.6%) than with the hook (none). CONCLUSION: Hook and purse-string methods are 
      equally popular in LHR for paediatric incarcerated hernias, with 50% hernia 
      reductions possible at the time of surgery. Recurrence rate is low and comparable 
      with non-incarcerated hernias; however, it is significantly higher in 
      purse-string method than hook technique.
FAU - Balogh, Brigitta
AU  - Balogh B
AD  - Department of Pediatrics, Division of Pediatric Surgery, University of Szeged, 
      Szeged, Hungary.
FAU - Hajnal, Daniel
AU  - Hajnal D
AD  - Department of Pediatrics, Division of Pediatric Surgery, University of Szeged, 
      Szeged, Hungary.
FAU - Kovacs, Tamas
AU  - Kovacs T
AD  - Department of Pediatrics, Division of Pediatric Surgery, University of Szeged, 
      Szeged, Hungary.
FAU - Saxena, Amulya K
AU  - Saxena AK
AD  - Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and 
      Westminster NHS Fdn Trust, Imperial College London, United Kingdom.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - India
TA  - J Minim Access Surg
JT  - Journal of minimal access surgery
JID - 101228183
PMC - PMC6945342
OTO - NOTNLM
OT  - Incarceration
OT  - inguinal hernia
OT  - laparoscopic
OT  - paediatric
OT  - repair
COIS- None
EDAT- 2020/01/04 06:00
MHDA- 2020/01/04 06:01
PMCR- 2020/01/01
CRDT- 2020/01/04 06:00
PHST- 2020/01/04 06:00 [entrez]
PHST- 2020/01/04 06:00 [pubmed]
PHST- 2020/01/04 06:01 [medline]
PHST- 2020/01/01 00:00 [pmc-release]
AID - JMinAccessSurg_2020_16_1_1_273713 [pii]
AID - JMAS-16-1 [pii]
AID - 10.4103/jmas.JMAS_84_19 [doi]
PST - ppublish
SO  - J Minim Access Surg. 2020 Jan-Mar;16(1):1-4. doi: 10.4103/jmas.JMAS_84_19.