Alshammari Dheidan, Sica Marina, Talon Isabelle, Kauffmann Isabelle, Moog Raphael, Becmeur Francois, Schneider Anne
Department of Pediatric Surgery, University Hospitals of Strasbourg, Strasbourg, France.
J Indian Assoc Pediatr Surg. 2020 Jan-Feb;25(1):28-33. doi: 10.4103/jiaps.JIAPS_233_18. Epub 2019 Nov 27.
Over the past decade, laparoscopic hernia repair was the most performed operation in our department. Equally, it compromises 15% of all pediatric operations performed. We aim, in this study, to review all the cases performed and extrapolate important information like reoccurrences, the incidence of metachronous inguinal hernia, complications amongst other information.
All patients under the age of 18 whom underwent elective laparoscopic hernia repair between 03/01/2007 till the 18/05/2016 were included in our study. We recorded important clinical features and studied their post-operative follow up. Equally reoccurrences, the incidence of metachronous inguinal hernia, complications and other parameters were recorded and studied.
A total of 916 patients were operated on during the defined study period. There was a 0.17% reoccurrence rate and a 0.46% incidence of metachronous inguinal hernia. Equally a contralateral patent processus vaginalis was diagnosed and closed in 17.10%. There were no postoperative complications and we had a 0% postoperative hydrocele rate.
Laparoscopic hernia repair is safe and carries all the benefits of minimally invasive surgery. We recommend that it is offered to patients and would like to refute previously claimed reports that it carries a higher reoccurrence rate or takes a long time to perform. Our reoccurrence rate of 0.17% is actually lower than many published reoccurrence rates after open repair.
在过去十年中，腹腔镜疝修补术是我们科室开展最多的手术。同样，它占所有儿科手术的15%。在本研究中，我们旨在回顾所有实施的病例，并推断出诸如复发、异时性腹股沟疝的发生率、并发症等重要信息。
我们的研究纳入了2007年1月3日至2016年5月18日期间接受择期腹腔镜疝修补术的所有18岁以下患者。我们记录了重要的临床特征，并研究了他们的术后随访情况。同样，记录并研究了复发情况、异时性腹股沟疝的发生率、并发症及其他参数。
在规定的研究期间，共有916例患者接受了手术。复发率为0.17%，异时性腹股沟疝的发生率为0.46%。同样，17.10%的患者被诊断出对侧鞘突未闭并进行了闭合。术后无并发症，术后鞘膜积液发生率为0%。
腹腔镜疝修补术是安全的，具有微创手术的所有优点。我们建议将其提供给患者，并反驳先前声称其复发率较高或手术时间较长的报道。我们0.17%的复发率实际上低于许多公开报道的开放修补术后的复发率。
