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.
| Published in | American Journal of Clinical and Experimental Medicine (Volume 5, Issue 5) |
| DOI | 10.11648/j.ajcem.20170505.15 |
| Page(s) | 181-185 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Congenital Hydrocele, Processus Vaginalis, Contralateral Patent Processus Vaginalis, Herniotomy
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APA Style
Deepak Verma, Deva Ram, Mukteshwar Gupta, Nemi Chand. (2017). Laparoscopic Herniotomy – A Single Centre Study of 150 Cases. American Journal of Clinical and Experimental Medicine, 5(5), 181-185. https://doi.org/10.11648/j.ajcem.20170505.15
ACS Style
Deepak Verma; Deva Ram; Mukteshwar Gupta; Nemi Chand. Laparoscopic Herniotomy – A Single Centre Study of 150 Cases. Am. J. Clin. Exp. Med. 2017, 5(5), 181-185. doi: 10.11648/j.ajcem.20170505.15
AMA Style
Deepak Verma, Deva Ram, Mukteshwar Gupta, Nemi Chand. Laparoscopic Herniotomy – A Single Centre Study of 150 Cases. Am J Clin Exp Med. 2017;5(5):181-185. doi: 10.11648/j.ajcem.20170505.15
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Download@article{10.11648/j.ajcem.20170505.15,
author = {Deepak Verma and Deva Ram and Mukteshwar Gupta and Nemi Chand},
title = {Laparoscopic Herniotomy – A Single Centre Study of 150 Cases},
journal = {American Journal of Clinical and Experimental Medicine},
volume = {5},
number = {5},
pages = {181-185},
doi = {10.11648/j.ajcem.20170505.15},
url = {https://doi.org/10.11648/j.ajcem.20170505.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20170505.15},
abstract = {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.},
year = {2017}
}
TY - JOUR T1 - Laparoscopic Herniotomy – A Single Centre Study of 150 Cases AU - Deepak Verma AU - Deva Ram AU - Mukteshwar Gupta AU - Nemi Chand Y1 - 2017/09/20 PY - 2017 N1 - https://doi.org/10.11648/j.ajcem.20170505.15 DO - 10.11648/j.ajcem.20170505.15 T2 - American Journal of Clinical and Experimental Medicine JF - American Journal of Clinical and Experimental Medicine JO - American Journal of Clinical and Experimental Medicine SP - 181 EP - 185 PB - Science Publishing Group SN - 2330-8133 UR - https://doi.org/10.11648/j.ajcem.20170505.15 AB - 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. VL - 5 IS - 5 ER -
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