| Laparoscopic treatment of congenital inguinal hernia in children. | |
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MedLine Citation:
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PMID: 10211645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The authors report their experience in the laparoscopic treatment of congenital inguinal hernia in children. METHODS: Between September 1994 and September 1995, 45 boys between 8 months and 13 years of age (mean, 4 years) were treated laparoscopically for hydroceles, spermatic cord cysts, or hernias. Twenty-six (57.8%) boys showed a right inguinal hernia, 17 (37.8%) a left hernia, and two cases (4.4%) presented the clinical data of a bilateral pathology. The approach used for small hernias was the placement of purse-string suture around the internal orifice of the inguinal canal (28 cases). As to hernias exceeding 4 to 5 mm in diameter, the external hemicircumference of the neck was opened to bring the conjoined tendon closer to the crural arch with a nonresorbable suture (17 cases). There was never need to use a prosthesis. RESULTS: Surgery lasted from 15 to 45 minutes with the duration decreasing with experience. There were no intra- or postsurgical complications. Two patients (4.4%) experienced a recurrent inguinal hernia, which was successfully operated on again with laparoscopy. CONCLUSION: The early results of these authors suggest that laparoscopic surgery is a feasible and safe technique for the treatment of patent peritoneal vaginal canal (PVC) and inguinal hernia in children. |
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Authors:
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P Montupet; C Esposito |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 34 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-05-28 Completed Date: 1999-05-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 420-3 Citation Subset: IM |
Affiliation:
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Centre Chirurgicale Boulogne Billancourt, Paris, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Child, Preschool Hernia, Inguinal / congenital*, surgery* Humans Infant Laparoscopy / methods* Male Recurrence Reoperation Suture Techniques Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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