Laparoscopic Sac Excision as a Definitive Technique for Inguinal Hernia Management in Pediatric Females: A Prospective Study

TL;DR

This study shows that laparoscopic sac excision is an effective method for treating inguinal hernias in young girls.

Contribution

The study demonstrates that laparoscopic sac excision without peritoneal closure is effective in pediatric females.

Findings

Two early recurrences occurred due to incomplete excision in the initial phase.

No further recurrences were observed after refining the technique.

Laparoscopic excision proved effective without needing additional peritoneal closure.

Abstract

Introduction: The utilization of laparoscopic techniques in the management of inguinal hernias among pediatric patients has seen a rising trend. We aimed to assess the efficacy of laparoscopic excision of the hernial sac as a suitable approach for managing inguinal hernias specifically in female patients and conducted a prospective study to investigate this hypothesis.

Methods: Over a comprehensive four-year period, a total of 99 hernias in 69 female patients were surgically addressed using laparoscopic methods. The surgical procedure primarily involved the laparoscopic inversion and excision of the hernial sac without subsequent distal suturing.

Results: During the initial phase of the study, two cases encountered recurrences within 48 hours post-operation, potentially attributed to incomplete excision. However, in the subsequent period, no further recurrences were recorded.

Conclusion: Our study findings support the contention that laparoscopic excision of the sac, without adjunctive closure of the peritoneum, suffices as an effective approach for managing inguinal hernias in female pediatric patients.

Figures