1. Laparoscopic inguinal hernia repair in premature babies weighing 3 kg or less
- Author
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Francesca Alicchio, S. Turial, K. Krause, F. Schier, C. Esposito, Maria Escolino, J. Enders, I. Giurin, A. Settimi, Esposito, Ciro, Turial, S., Escolino, M., Giurin, I., Alicchio, Francesca, Enders, J., Krause, K., Settimi, Alessandro, and Schier, F.
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Gestational Age ,Hernia, Inguinal ,Infant, Premature, Diseases ,Recurrence ,Pediatric surgery ,medicine ,Humans ,Complication rate ,Hernia ,Laparoscopy ,Herniorrhaphy ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,General surgery ,Infant, Newborn ,Gestational age ,Retrospective cohort study ,General Medicine ,Hernia repair ,medicine.disease ,humanities ,Surgery ,Inguinal hernia ,Treatment Outcome ,Pediatrics, Perinatology and Child Health ,Feasibility Studies ,Female ,business ,Infant, Premature ,Follow-Up Studies - Abstract
PURPOSE: This retrospective study aims to evaluate the feasibility, safety and complication rate of laparoscopic inguinal hernia repair for small babies weighing 3 kg or less. METHODS: A retrospective analysis was performed on the surgical charts of 67 infants (47 boys and 20 girls) weighing 3 kg or less who underwent laparoscopic hernia repair in a 3-year period. A regular 5-mm scope was used for visualization, and 2 or 3-mm instruments were used for the closure of the inner inguinal ring using 3/0 non-absorbable suture. The median weight at surgery was 2,600 g (range 1,450-3,000 g). All except three were premature. RESULTS: Of the 67 infants, 15 (22.3 %) presented with an irreducible hernia. In three cases of irreducible hernias, we also performed a transumbilical appendectomy at the end of the hernia repair. Minor problems related with anesthesia were noted in four cases. Hernia recurrence was observed in three patients (4.4 %). No cases of testicular atrophy occurred. In 10 boys, we observed 12 cases of high testes, only 4 testes requiring subsequent orchiopexy. CONCLUSIONS: Laparoscopic inguinal hernia repair for babies weighing 3 kg or less is feasible, safe and perhaps even less technically demanding than open inguinal herniotomy.
- Published
- 2012