Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/75861
Title: Laparoscopic extraperitoneal technique versus open inguinal herniotomy in children: historical controlled intervention study
Authors: Arada Suttiwongsing
Jiraporn Khorana
Patchara Ruangwongroj
Korakot Niruttiwat
Authors: Arada Suttiwongsing
Jiraporn Khorana
Patchara Ruangwongroj
Korakot Niruttiwat
Keywords: Medicine
Issue Date: 21-Jul-2022
Abstract: Objective To compare surgical outcomes of percutaneous extraperitoneal simple purse string method of laparoscopic hernia (LH) repair with a traditional open inguinal hernia (OH) repair in children with indirect inguinal hernia in a single center. Methods This study is a historical-controlled intervention study of two groups of patients: patients in the controlled group had OH repair performed from January 2016 to December 2017, and patients in the study group had LH repair from January 2018 to December 2019 at a single institution. Outcomes of the OH and LH groups, in terms of operative time, recurrence, complications, incidence of metachronous contralateral inguinal hernia (MCIH) and contralateral patent processus vaginalis (CPPV) were analyzed. Results Three hundred and five patients were enrolled in the study. Among them, 95 cases underwent laparoscopic percutaneous extraperitoneal closure herniotomy (LH group), and 210 cases underwent conventional open herniotomy (OH group). In terms of operative time, only unilateral herniotomy in females of the OH group was significantly less than that of the LH group (15.7±7.1 vs 20.5±7.4 min, p=0.004). No significant difference in overall complication was observed between the two groups of patients. The incidence of CPPV in the LH group was 15.7% (15/95), and MCIH in OH group was 10.9% (23/210). Conclusions Laparoscopic herniotomy may prevent the need for a second operation of metachronous contralateral hernia. Both open and laparoscopic techniques are equivalent in pro and cons.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85135307554&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/75861
ISSN: 25165410
Appears in Collections:CMUL: Journal Articles

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