American Journal of Clinical and Experimental Medicine
Volume 5, Issue 5, September 2017, Pages: 181-185
Received: Aug. 18, 2017;
Accepted: Sep. 19, 2017;
Published: Sep. 20, 2017
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Deepak Verma, Department of Surgery, Dr. Sampurnanand Medical College, Jodhpur, India
Deva Ram, Department of Surgery, Dr. Sampurnanand Medical College, Jodhpur, India
Mukteshwar Gupta, Department of Surgery, Dr. Sampurnanand Medical College, Jodhpur, India
Nemi Chand, Department of Surgery, Dr. Sampurnanand Medical College, Jodhpur, India
Pediatric patients presenting as inguinal hernia or congenital hydrocele is common ailment encountered in surgical practice and herniotomy is a very common surgical procedure performed. Open procedure is gradually being replaced by laparoscopic approach because of the distinct advantages of early recovery, short stay and better cosmetic results. 150 pediatric patients of inguinal hernia or congenital hydrocele were subject of this study. These patients were subjected to laparoscopic herniotomy performed at the neck of the sac and proximal part of peritoneum was closed with non-absorbable polypropyelene suture with aspiration of scrotal sac, if required. Average age of patients was 6.5 year with 93.35% male. 70.6% had inguinal hernia and 29.4% had congenital hydrocele). 68% patients had right sided and 10.6% clinically bilateral lesion. Operating time was 25 minutes in unilateral and 34.8 minutes in bilateral procedure. Postoperative stay was 1.06 days. No intraoperative complication was noted. Recurrence rate was 1.33% and conversion rate was 0.66%. Laparoscopic herniotomy is safe, well tolerated and effective procedure with early recovery, short operating time, less postoperative pain, free of complication, shorter post-operative hospital stay and very low recurrence. It can detect contralateral patent processus vaginalis and bilateral closure of it can be done through same approach.
Laparoscopic Herniotomy – A Single Centre Study of 150 Cases, American Journal of Clinical and Experimental Medicine.
Vol. 5, No. 5,
2017, pp. 181-185.
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