Indirect inguinal hernia repair conducted with single conventional port intracorporeal conventional equipment‑endoscopic surgery

Purpose Laparoscopic or laparoscopy-assisted inguinal hernia repair (IHR) can be performed using one port plus two stab wounds.

Indirect inguinal hernia repair conducted with single conventional port intracorporeal conventional equipment‑endoscopic surgery

Purpose Laparoscopic or laparoscopy-assisted inguinal hernia repair (IHR) can be performed using one port plus two stab wounds. We herein present our experience with laparoscopic IHR conducted using a single conventional port and a single working instrument. Methods The records patients who underwent single conventional port intracorporeal IHR during November 2013–December 2018 were evaluated. The main outcome measurements were patient’s demographic characteristics, hernia side, presence of incarceration, operative time, and complications. Results A total of 132 inguinal hernias (52 right, 40 left, and 20 bilateral) were repaired in 112 patients (76 boys, 36 girls). The mean ages of the patients were 69.8±53.4 months (3 months to 17 years). In six patients, contralateral processus vaginalis was found to be patent during operation. Incarcerated inguinal hernia was present in two patients. Mean operative time was 17.9±3.8 min (9–30 min) in unilateral hernias and 28.9±6.5 min (24–45 min) in bilateral hernias. No intraoperative and postoperative complications were encountered. The mean hospital stay of the patients was 8.8±5.0 h (4–36 h). Postoperative follow-up was 16.5±5.1 months (6–24 months). No recurrent inguinal hernias were detected during follow-up. Conclusion Single conventional port intracorporeal IHR obviates additional stab wounds. Additionally, present technique eliminates the risk of skin puckering, subcutaneous granuloma, infection, nerve, and muscle damage development induced by the subcutaneously placed knot in laparoscopy-assisted IHR. Single conventional port intracorporeal IHR in children is a feasible and safe operative technique with low complication rates.

Bu makale 25 Temmuz 2023 tarihinde güncellendi. 0 kez okundu.

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Prof. Dr. Osman Zeki Karakuş

Prof. Dr. Osman Zeki Karakuş, 1974 yılında Antalya’nın Korkuteli İlçesi’nde doğdu. İlk ve orta öğretimini Korkuteli’de, lise eğitimini 1992 yılında Konya Atatürk Sağlık Meslek Lisesinde tamamladı. 1994 yılında Hacettepe Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Tıbbi Laboratuvar Bölümününden mezun oldu. Sağlık Memuru ve Tıbbi Laboratuvar Teknikeri unvanları ile 1992 – 2002 yılları arasında Ankara Onkoloji Hastanesi ve Samsun Mehmet Aydın Devlet Hastanesinde görev yaptı. Samsun Ondokuz Mayıs Üniversitesi Tıp Fakültesi’nde 1995-2001 yılları arasında tamamladığı tıp eğitiminin ardından 2002-2003 yıllarında Samsun’da pratisyen hekimlik yaptı. 2003-2008 yılları arasında Dokuz Eylül Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Ana Bilim Dalında uzmanlık eğitimi alan Prof. Dr. Karakuş, Ankara Gülhane Askeri Tıp Akademisi’nde 2009 yılında ...

Prof. Dr. Osman Zeki Karakuş
Prof. Dr. Osman Zeki Karakuş
Antalya - Çocuk Cerrahisi
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