Laparoscopic ligation of patent processus vaginalis for the treatment of inguinal hernia in children

To evaluate the feasibility, safety and efficacy of laparoscopic repair of inguinal hernia in pediatric age group. A total of 401 laparoscopic inguinal herniorrhaphies were performed in 362 children [340 boys and 22 girls]. The age ranged from 2 months and 12 years. A total of 397 indirect hernias sacs were closed [238 right, 81 left and 78 bilaterally], 2 direct hernia [boys] and 2 femoral hernias [one male and one female] were repaired. The median operating time was 25min [range for unilateral 16 to 45min; bilateral 20 to 54 min]. There were no intra-operative complications. Recurrence occurred in 10 [2.5%] patients during a follow up time of 6 months to 4 years. Laparoscopic inguinal hernia repair in children is feasible, safe and effective procedure; especially in case of recurrence and bilateral hernias

Rol de la ultrasonografía en el diagnóstico y manejo de la hernia inguinal en pacientes pediátricos / Role of ultrasonography in the diagnosis and management in pediatric patients with inguinal hernia

La ultrasonografía (US) puede jugar un rol importante, tanto en la confirmación diagnóstica de hernia inguinal como en la detección preoperatoria de hernia inguinal contralateral.

Herniorrafia / Herniorrhaphy

El diagnostico exacto de las hernias inguinales y el exito de la correccion quirurgica dependen fundamentalmente de un conocimiento adecuado de la anatomia y la embriologia.