Akademik Veri Yönetim Sistemi
Cocuk Cerrahisi Dergisi, cilt.19, sa.3, ss.117-122, 2005 (Scopus, TRDizin)
Background and purpose: With the wide usage of laparoscopy, laparoscopic inguinal hernia has become somewhat popular. With laparoscopy vas deferens and testicular vessels can be readily seen, processus vaginalis can be ligated without any harm to aforementioned structures. We herein aim to present our experience with laparoscopic inguinal hernia repair. Material and Methods: 18 patients (12 boys, 6 girls) aged 3 months to 10 years (median 5 years) underwent laparoscopic inguinal hernia repair since 2002. Purse string closure at the level of internal inguinal ring has been applied using 2-0 polydioxanone suture (PDS, Ethicon, Edinburgh, UK) to the first 6 patients. Processus vaginalis was closed with Zig maneuver with the help of "Deschamps". PDS has been used in the first 8 patients while Ethibond (Ethicon, Edinburgh, UK) has been utilized in the last 4 patients. Results: No perioperative complication was encountered. Two recurrences were recorded occurring 3 and 4 months later, respectively. These patients were reoperated in open fashion and recurrences were found to result from suture material failure (resterilized PDS breakdown). These failures lead us to use Ethibond thereafter. Conclusion: Laparoscopic inguinal hernia repair requires advanced laparoscopic skill. There is no data regarding longterm recurrence rate. Laparoscopic inguinal hernia repair should be considered as an alternative treatment modality in repair of inguinal hernias as it is less traumatic and has good cosmetic results.