Çocuklarda Laparoskopi Destekli Perkütan İç Halka Kapatılması Tekniği ile Kasık Fıtığı Onarımı – Tek Merkez Deneyimi
Abstract
Amaç: Kasık fıtığı cerrahisinde, fıtık kesesinin yüksek ligasyonu temel prensip olarak uygulanmaktadır. Günümüzde kasık fıtığı ameliyatlarının minimal invaziv yöntemlerle ve teknolojideki gelişmelerin yardımıyla aynı başarı oranları ile yapılması mümkün olmaktadır. Bu minimal invaziv yöntemlerden biri de laparoskopi destekli perkütan iç halka kapatılması yöntemidir.
Bu çalışmada, laparoskopi destekli perkütan iç halka kapatılması yöntemi ile tedavi ettiğimiz olgu serimizi ve ameliyat sonrası altı aya kadar olan sonuçlarını sunmayı amaçladık.
Gereç ve Yöntemler: Hastanemiz Çocuk Cerrahisi Kliniğine 01 Kasım 2019- 29 Şubat 2020 tarihleri arasında endirekt kasık fıtığı ile başvuran çocuk hastalar çalışmaya dahil edildi. İnkarsere kasık fıtığına ait klinik özellikleri taşıyan hastalar çalışma dışı bırakıldı.
Laparoskopi destekli perkütan iç halka kapatılması yöntemi ile kasık fıtığı onarımı yapıldı.
Bulgular: Çalışmanın yapıldığı süre içerisinde 27 hastada 36 kasık fıtığı onarımı yapıldı. Yaş gruplarının dağılımı 24 ay üstü (8/27), 2-6 ay arası (5/27), 6-12 ay arası (4/27) ve 12-24 ay arası (1/27)’dir. Hiçbir hastada açık cerrahi tekniğe ya da ek trokar kullanılmasına gerek olmadı. Ortalama ameliyat süresi 24.3±1.77 dakikaydı. Hastaların hastanede ortalama yatış süresi 2.15±0.12 gündü.
Hastaların takiplerinde rekürrans, karın içi komplikasyon ya da kasık bölgesinde komplikasyon saptanmadı.
Sonuç: Çocukluk çağında laparoskopi desteğinde uygulanan perkütan iç halka kapatma yönteminin endirekt kasık fıtığı onarımı için kolay ve güvenli olarak uygulanabilen bir yöntem olduğunu saptadık.
Supporting Institution
Yoktur
References
- 1. Lau WY: History of treatment of groin hernia. World J Surg 2002, 26(6):748-759.
- 2. Sachs M, Damm M, Encke A: Historical evolution of inguinal hernia repair. World journal of surgery 1997, 21(2):218-223.
- 3. Schier F, Montupet P, Esposito C: Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. Journal of pediatric surgery 2002, 37(3):395-397.
- 4. Patkowski D, Czernik J, Chrzan R, Jaworski W, Apoznański W: Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. Journal of Laparoendoscopic & Advanced Surgical Techniques 2006, 16(5):513-517.
- 5. Wolak PK, Patkowski D: Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique–own experience. Videosurgery and Other Miniinvasive Techniques 2014, 9(1):53-58
- 6. Danielson J, Pakkasjärvi N, Högberg N: Percutaneous Hernia Repair in Children: Safe to introduce. Scandinavian Journal of Surgery 2020:1457496920918151.
- 7. Dreuning K, Maat S, Twisk J, van Heurn E, Derikx J: Laparoscopic versus open pediatric inguinal hernia repair: state-of-the-art comparison and future perspectives from a meta-analysis. Surgical endoscopy 2019:1:3177-3191.
- 8. Thomas DT, Göcmen KB, Tulgar S, Boga I: Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: experience with 250 cases. Journal of Pediatric Surgery 2016, 51(8):1330-1335.
- 9. Tanger R, Singh AP, Gupta AK, Mathur V: Laparoscopic inguinal hernia repair in girls using the percutaneous internal ring suturing technique–our own experience. Menoufia Medical Journal 2020, 33(2):713-716.
- 10. Miyake H, Fukumoto K, Yamoto M, Nakajima H, Sekioka A, Yamada Y, Nomura A, Urushihara N: Risk factors for recurrence and contralateral inguinal hernia after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia. Journal of Pediatric Surgery 2017, 52(2):317-321.
- 11. Takehara H, Yakabe S, Kameoka K: Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. Journal of pediatric surgery 2006, 41(12):1999-2003.
- 12. Timberlake MD, Herbst KW, Rasmussen S, Corbett ST: Laparoscopic percutaneous inguinal hernia repair in children: review of technique and comparison with open surgery. Journal of pediatric urology 2015, 11(5): 262.e1-262.e6
- 13. Pogorelić Z: Effects of laparascopic hernia repair by PIRS (percutaneous internal ring suturing) technique on testicular artery blood supply. J Investig Surg 2018, 12: 348-349.
- 14. Oral A, Karaca L, Ahiskalioglu A, Yildiz A, Yigiter M, Celikkaya ME, Chyndolotov T, Salman AB: Effects of laparoscopic hernia repair by PIRS (Percutan Internal Ring Suturing) technique on testicular artery blood supply. Journal of Investigative Surgery 2019;32: 343-347.
- 15. Chen J-C, Zhang Q-L, Chen L, Wang Y-J, Huang W-H, Zhou C-M: Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls. Minimally Invasive Therapy & Allied Technologies 2020:1-7.
Inguinal Hernia Repair with Laparoscopic-Supported Percutaneous Internal Ring Suturing Technique in Children - One Center Experience
Abstract
Objective: High ligation of the hernia sac is applied as the basic principle in inguinal hernia surgery. Nowadays, it is possible to perform inguinal hernia surgeries with minimally invasive methods and with the help of technological developments with the same success rates. One of these minimally invasive methods is the percutaneous internal ring suturing method, assisted by laparoscopy.
In this study, we aimed to present the case series that we treated with a laparoscopy-assisted percutaneous internal ring suturing and its results up to six months after surgery.
Material and Methods: Pediatric patients admitted to the Pediatric Surgery Clinic of Our Hospital with indirect inguinal hernia between November 01, 2019, and February 29, 2020, were included in the study. Patients with clinical features of incarcerated inguinal hernia were excluded from the study.
Inguinal hernia repair was performed by the percutaneous internal ring suturing method supported by laparoscopy.
Results: During the study period, 36 inguinal hernia repairs were performed in 27 patients. The distribution of age groups is over 24 months (8/27), 2-6 months (5/27), 6-12 months (4/27), and 12-24 months (1/27). No patient required open surgical technique or the use of additional trocars. The mean operation time was 24.3±1.77 minutes. The mean hospitalization period of the patients was 2.15±0.12 days.
During the follow-up of the patients, no recurrence, intra-abdominal complication, or inguinal complication was detected.
Conclusion: We found that the percutaneous internal ring closure method applied under laparoscopic support in childhood is an easy and safe method for indirect inguinal hernia repair.
References
- 1. Lau WY: History of treatment of groin hernia. World J Surg 2002, 26(6):748-759.
- 2. Sachs M, Damm M, Encke A: Historical evolution of inguinal hernia repair. World journal of surgery 1997, 21(2):218-223.
- 3. Schier F, Montupet P, Esposito C: Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. Journal of pediatric surgery 2002, 37(3):395-397.
- 4. Patkowski D, Czernik J, Chrzan R, Jaworski W, Apoznański W: Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. Journal of Laparoendoscopic & Advanced Surgical Techniques 2006, 16(5):513-517.
- 5. Wolak PK, Patkowski D: Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique–own experience. Videosurgery and Other Miniinvasive Techniques 2014, 9(1):53-58
- 6. Danielson J, Pakkasjärvi N, Högberg N: Percutaneous Hernia Repair in Children: Safe to introduce. Scandinavian Journal of Surgery 2020:1457496920918151.
- 7. Dreuning K, Maat S, Twisk J, van Heurn E, Derikx J: Laparoscopic versus open pediatric inguinal hernia repair: state-of-the-art comparison and future perspectives from a meta-analysis. Surgical endoscopy 2019:1:3177-3191.
- 8. Thomas DT, Göcmen KB, Tulgar S, Boga I: Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: experience with 250 cases. Journal of Pediatric Surgery 2016, 51(8):1330-1335.
- 9. Tanger R, Singh AP, Gupta AK, Mathur V: Laparoscopic inguinal hernia repair in girls using the percutaneous internal ring suturing technique–our own experience. Menoufia Medical Journal 2020, 33(2):713-716.
- 10. Miyake H, Fukumoto K, Yamoto M, Nakajima H, Sekioka A, Yamada Y, Nomura A, Urushihara N: Risk factors for recurrence and contralateral inguinal hernia after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia. Journal of Pediatric Surgery 2017, 52(2):317-321.
- 11. Takehara H, Yakabe S, Kameoka K: Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. Journal of pediatric surgery 2006, 41(12):1999-2003.
- 12. Timberlake MD, Herbst KW, Rasmussen S, Corbett ST: Laparoscopic percutaneous inguinal hernia repair in children: review of technique and comparison with open surgery. Journal of pediatric urology 2015, 11(5): 262.e1-262.e6
- 13. Pogorelić Z: Effects of laparascopic hernia repair by PIRS (percutaneous internal ring suturing) technique on testicular artery blood supply. J Investig Surg 2018, 12: 348-349.
- 14. Oral A, Karaca L, Ahiskalioglu A, Yildiz A, Yigiter M, Celikkaya ME, Chyndolotov T, Salman AB: Effects of laparoscopic hernia repair by PIRS (Percutan Internal Ring Suturing) technique on testicular artery blood supply. Journal of Investigative Surgery 2019;32: 343-347.
- 15. Chen J-C, Zhang Q-L, Chen L, Wang Y-J, Huang W-H, Zhou C-M: Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls. Minimally Invasive Therapy & Allied Technologies 2020:1-7.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | January 28, 2022 |
| Submission Date | February 8, 2021 |
| Published in Issue | Year 2022 Volume: 16 Issue: 1 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.