Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study
Background. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of...
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2012-01-01
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Series: | Minimally Invasive Surgery |
Online Access: | http://dx.doi.org/10.1155/2012/484135 |
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doaj-9cba672a4d5144c3abdd5228bc11430b2020-11-24T22:43:55ZengHindawi LimitedMinimally Invasive Surgery2090-14452090-14532012-01-01201210.1155/2012/484135484135Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized StudyRafik Shalaby0Refaat Ibrahem1Mohamed Shahin2Abdelaziz Yehya3Mohamed Abdalrazek4Ibrahim Alsayaad5Maged Ali Shouker6Pediatric Surgery Unit, Al-Azhar University Hospitals, Cairo, EgyptPediatric Surgery Unit, Al-Azhar University Hospitals, Cairo, EgyptPediatric Surgery Unit, Al-Azhar University Hospitals, Damietta, EgyptPediatric Surgery Unit, Al-Azhar University Hospitals, Cairo, EgyptPediatric Surgery Unit, Al-Azhar University Hospitals, Cairo, EgyptPediatric Surgery Unit, Al-Azhar University Hospitals, Damietta, EgyptDiagnostic Imaging Department, Al-Azhar University Hospitals, Cairo, EgyptBackground. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results. Patients and Methods. Two hundred and fifty patients with inguinal hernia were randomized into two equal groups. Group A was subjected to laparoscopic inguinal hernia repair. Group B was subjected to open herniotomy. The demographic data were matched between both groups. Assessment of the testicular volume and duplex assessment in preoperative, early, and late postoperative periods were done. Results. All cases were completed successfully without conversion. The mean operative time for group A was minutes, minutes and minutes, for unilateral hernia, unilateral hernia in obese child, and bilateral hernia, respectively. The recurrence rate was 0.8% in group A, whereas in group B the recurrence rate was 2.4%. Conclusion. Laparoscopic hernia repair by RN is an effective line of hernia repair. It resulted in marked reduction of operative time, low rate of recurrence, no testicular atrophy, no iatrogenic ascent of the testis, and excellent cosmetic results.http://dx.doi.org/10.1155/2012/484135 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rafik Shalaby Refaat Ibrahem Mohamed Shahin Abdelaziz Yehya Mohamed Abdalrazek Ibrahim Alsayaad Maged Ali Shouker |
spellingShingle |
Rafik Shalaby Refaat Ibrahem Mohamed Shahin Abdelaziz Yehya Mohamed Abdalrazek Ibrahim Alsayaad Maged Ali Shouker Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study Minimally Invasive Surgery |
author_facet |
Rafik Shalaby Refaat Ibrahem Mohamed Shahin Abdelaziz Yehya Mohamed Abdalrazek Ibrahim Alsayaad Maged Ali Shouker |
author_sort |
Rafik Shalaby |
title |
Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study |
title_short |
Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study |
title_full |
Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study |
title_fullStr |
Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study |
title_full_unstemmed |
Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study |
title_sort |
laparoscopic hernia repair versus open herniotomy in children: a controlled randomized study |
publisher |
Hindawi Limited |
series |
Minimally Invasive Surgery |
issn |
2090-1445 2090-1453 |
publishDate |
2012-01-01 |
description |
Background. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results. Patients and Methods. Two hundred and fifty patients with inguinal hernia were randomized into two equal groups. Group A was subjected to laparoscopic inguinal hernia repair. Group B was subjected to open herniotomy. The demographic data were matched between both groups. Assessment of the testicular volume and duplex assessment in preoperative, early, and late postoperative periods were done. Results. All cases were completed successfully without conversion. The mean operative time for group A was minutes, minutes and minutes, for unilateral hernia, unilateral hernia in obese child, and bilateral hernia, respectively. The recurrence rate was 0.8% in group A, whereas in group B the recurrence rate was 2.4%. Conclusion. Laparoscopic hernia repair by RN is an effective line of hernia repair. It resulted in marked reduction of operative time, low rate of recurrence, no testicular atrophy, no iatrogenic ascent of the testis, and excellent cosmetic results. |
url |
http://dx.doi.org/10.1155/2012/484135 |
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