The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Svarich V.G.

Republican Children’s Clinical Hospital;
Pitirim Sorokin Syktyvkar State University

Kagantsov I.M.

Pitirim Sorokin Syktyvkar State University;
Almazov National Medical Research Center

Svarich V.A.

Main Bureau of Medical and Social Expertise in the Republic of Komi

Method of laparoscopic hernioplasty in children with inguinal hernia with large sizes of the inner inguinal ring

Authors:

Svarich V.G., Kagantsov I.M., Svarich V.A.

More about the authors

Journal: Endoscopic Surgery. 2021;27(5): 29‑35

DOI: 10.17116/endoskop20212705129

Views: 2588

Downloaded: 117

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Svarich VG, Kagantsov IM, Svarich VA. Method of laparoscopic hernioplasty in children with inguinal hernia with large sizes of the inner inguinal ring. Endoscopic Surgery. 2021;27(5):29‑35. (In Russ.)
https://doi.org/10.17116/endoskop20212705129

Подписка 2025 (Endoscopic Surgery)
МСФ на ЯМ
Close metadata

MATERIALS AND METHODS

During the period from 2000 to 2021, 3.293 children with inguinal hernia were treated in the surgical department. Out of 3590 operations performed in these patients, 1269 operations were performed using the method of extraperitoneal laparoscopic herniation. For the study, the first group included 18 patients with an inguinal hernia and a diameter of the inner inguinal ring greater than three centimeters, operated by the method of extraperitoneal laparoscopic herniation with a spinal needle Tuohy. The second group included 12 patients with an inguinal hernia and a diameter of the inner inguinal ring greater than three centimeters using the method we proposed.

RESULTS

Long-term results were followed up in the period from 2 months to 6 years. In the first group, relapse occurred in 6 patients (33.3%). In 6 patients, when the ligature was tightened around the large diameter of the inner inguinal ring with significant tension, the latter ruptured, which required a repeat of the surgical procedure. In all cases, due to the large diameter of the inner inguinal ring, deformation of the spinal needles used for retroperitoneal ligatures occurred intraoperatively, with the destruction of the needles Tuohy along the level of its pavilion in two cases. In the second group of children operated using a new method of hernia repair, there was no recurrence of the disease and no technical intraoperative problems.

CONCLUSION

The proposed method of laparoscopic treatment of inguinal hernia with large sizes of the inner inguinal ring in children allowed to reduce the risk of intraoperative and postoperative complications, made it possible to guarantee the elimination of inguinal hernia with the size of the inner inguinal ring more than three centimeters and, as a result, improved the results of surgical treatment of children with inguinal hernia.

Keywords:

inguinal hernia
laparoscopic herniation
inner inguinal ring

Authors:

Svarich V.G.

Republican Children’s Clinical Hospital;
Pitirim Sorokin Syktyvkar State University

Kagantsov I.M.

Pitirim Sorokin Syktyvkar State University;
Almazov National Medical Research Center

Svarich V.A.

Main Bureau of Medical and Social Expertise in the Republic of Komi

Received:

14.06.2021

Accepted:

18.08.2021

List of references:

  1. Blandinsky FV, Nesterov VV, Sokolov SV, Kotova ZN, Anfinogenov AL. Surgical treatment of boys with inguinal canal hernias. Analysis of five-year experience. Kreativnaya khirurgiya i onkologiya. 2019;9(1):37-43. (In Russ.). https://doi.org/10.24060/2076-3093-2019-9-1-37-43
  2. Akramov NR, Omarov TI, Gallyamova AI, Matar AA. Evolution of laparoscopic hernioraphy in congenital inguinal hernias in children. Reproduktivnoe zdorov’e detej i podrostkov. 2014;2:81-93. (In Russ.).
  3. Solov’ev AE, Laricheva OV, Kulchitsky OA. Sliding inguinal hernias in children. Khirurgiya. 2017;6:51-54. (In Russ.). https://doi.org/10.17116/hirurgia2017651-54
  4. Kozlov YuA, Novozhilov VA, Krasnov PA. Comparative analysis of 569 cases of laparoscopic and open inguinal hernioraphy in children of the first three months of life. Annaly khirurgii. 2013;5:49-54. (In Russ.).
  5. Chinnaswamy P, Malladi V, Jani KV, Parthasarthi R, Shetty RA, Kavalakat AJ, Prakash A. Laparoscopic Inguinal Hernia Repair in Children. J Soc Lapar Surg. 2005;9(4):393-398. 
  6. Kozlov YuA, Novozhilov VA, Baradieva PZh, Zvonov DA, Ochirov ChB. Pinched inguinal hernias in children. Rossiiskii vestnik detskoi khirurgii, anesteziologii i reanimatologii. 2018;8(1):80-95. (In Russ.).
  7. Dvorakevich AO, Pereyaslov AA. Minimally invasive treatment of recurrent inguinal hernias in children. Detskaya khirurgiya. 2016;20(3):140-143. (In Russ.).
  8. https://www1.fips.ru/ofpstorage/BULLETIN/IZPM/2021/06/10/INDEX_RU.HTM  https://www1.fips.ru/ofpstorage/BULLETIN/IZPM/2021/06/10/INDEX_RU.HTM
  9. Esposito C, Peter SDS, Escolino M, Juang D, Settimi A, Holcomb GV. Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J Lapar And Adv Surg Techn. 2014;11(24):811-818.  https://doi.org/10.1089/lap.2014.0194
  10. Scheben’kov MV. Laparoscopic herniorrhaphy. Endoskopicheskaya khirurgiya. 1995;4:7-9. (In Russ.).
  11. Alshammari D, Sica M, Talon I, Kauffmann I, Moog R, Becmeur F, Schneider A. Our laparoscopic surgical technique and experience in treating pediatric inguinal hernia over the past decade. J Indian Assoc Pediatr Surg. 2020;25(1):28-33.  https://doi.org/10.4103/jiaps.JIAPS_233_18
  12. Chen Y, Wang F, Zhong H, Zhao J, Li Y, Shi Z. A systematic review and meta-analysis concerning single-site laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia and hydrocele. Surg Endosc. 2017;31(12):4888-4901. https://doi.org/10.1007/s00464-017-5491-3
  13. Ti AD, Fayzullaev VKh, Safroshkina EV. Experience in the use of transcutaneous hernioraphy with laparoscopic assistance in the treatment of children with inguinal hernias. Terra medika. 2014;1:42-44. (In Russ.).
  14. Ignatiev RO. Surgery of anterior abdominal wall hernias in the practice of a pediatric urologist. Vestnik urologii. 2015;1:35-43. (In Russ.).
  15. Prasad R, Lovvorn HN, Wadie GM, Lobe TE. Early experience with needleoscopic inguinal herniorrhaphy in children. J Pediatr Surg. 2003;38:1055-1058. https://doi.org/10.1016/s0022-3468(03)00191-x
  16. Shalaby RY, Fawy M, Soliman SM, Dorgham A. A new simplified technique for needlescopic inguinal herniorrhaphy in children. J Pediatr Surg. 2006;41:863-867.  https://doi.org/10.1016/j.jpedsurg.2005.12.042
  17. Kim S, Hui T. Laparoscopically assisted repair of inguinal hernia through a micro-incision and extraperitoneal division and ligation of the hernia sac. Pediatr Surg Int. 2013;29:331-334.  https://doi.org/10.1016/j.jpedsurg.2005.12.042
  18. Muensterer OJ, Georgeson KE. Inguinal hernia repair by singleincision pediatric endosurgery (SIPES) using the hydrodissection-lasso technique. Surg Endosc. 2011;25:3438-3439. https://doi.org/10.1007/s00464-011-1713-2
  19. Nakonechny AI, Kuzyk AS, Nakonechny RA. Surgical correction of inguinal hernias in children using the mini-invasive pirs method. Zdorov’e rebenka. 2016;1(69):148-151. (In Russ.). https://doi.org/10.22141/2224-0551.1.69.2016.73733
  20. Kozlov YuA, Novozhilov VA, Rasputin AA, Kovalkov KA, Chubko DM, Baradieva PZh, Zvonovs DA, Timofeev AD, Ochirov ChB, Rasputina NV, Us GP, Kuznetsova NN. Treatment of inguinal hernias in children: a review of laparoscopic methods, or the history of «hooks and needles». Endoskopicheskaya khirurgiya. 2017;23(1):33-43. (In Russ.). https://doi.org/10.17116/endoskop201723133-43
  21. Pavlushin PM, Ramzin AV, Tratonin AA, Krivosheenko NV, Konov YuYu, Chikinev YuV. Method of video-assisted isolated percutaneous ligation of the neck of the hernial sac in inguinal hernias in children. Rossiiskii vestnik detskoi khirurgii, anesteziologii i reanimatologii. 2020;10(2):157-164. (In Russ.). https://doi.org/10.17816/psaic661
  22. Shibuya S, Imaizumi T, Yamada S, Yoshida S, Yamada S, Toba Y, Takahashi T, Miyazaki E. Comparison of surgical outcomes between laparoscopic percutaneous extracorporeal closure (LPEC) and open repair for pediatric inguinal hernia by propensity score methods and log-rank test analysis. Surg Endosc. 2021;22.  https://doi.org/10.1007/s00464-021-08354-9

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.