Pediatric Open Inguinal Hernia Repair Technique

Recurrence hernia comes back pediatric inguinal hernia reoccurs with open repair in.

Pediatric open inguinal hernia repair technique. The pediatric surgeon will tell you which approach is best for your child. This 3d medical animation gives an overview of a pediatric inguinal hernia of a male. Minimally invasive surgery has been shown to be feasible and safe in pediatric patients since 1975 when laparoscopic surgery was first used to treat a small bowel obstruction. In the past open hernia repair in children consisted of high ligation of the indirect hernia sac.

This fairly new technique for laparoscopic repair of inguinal hernias in infants and children is now well accepted among many pediatric surgeons. 10 in 1 000 children who had a full term birth. To evaluate the feasibility of one stitch herniotomy in the management of inguinal hernia in infants. Laparoscopy involves small instruments through 2 or 3 tiny incisions using the seal technique see the figure.

Between january 2011 and june 2014 100 children in the age group 0 14 months with unilateral inguinal hernia were prospectively enrolled for hernia repair and herniotomy was performed by one stitch technique. 1 laparoscopy is an option for surgical repair of inguinal hernias in addition to the traditional open approach. Open operation involves a very small about one inch incision in the groin. This technique can cause excess bleeding extended anesthesia time damage to structures in the area and an increased risk of recurrence.

2 3 therefore wider adoption of ls in the management of pih remains controversial especially so in developing countries with limited access to. Hernia repair during childhood 15 pain is usually managed with acetaminophen or ibuprofen and most children resume normal activity in a few days. Since its advent there has been considerable evolution. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament nonabsorbable suture.

It also involves the so called tanner slide which is a vertical relaxing incision in the anterior rectus sheath intended to prevent tension. Open repair of the pediatric inguinal hernia the patient should be placed on the operating table in a supine position with his or her legs slightly abducted. Step by step demonstration on how to perform the laparoscopic needles assisted repair lnar of inguinal hernias in infants and young children. 6 an approach to keep the hernia sac intact by using a purse string suture in the internal ring fascia can.

It describes the descent of the testes formation of an inguinal hernia and treatment options. The lower abdomen and inguinoscrotal. Laparoscopic surgery ls for pediatric inguinal hernia pih is emerging as an alternative to open surgery os with studies both validating 1 and questioning the superiority of ls over os.