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Features and Techniques of Laparoscopic Percutaneous Extraperitoneal Closure for Ovarian Hernia.
- Source :
-
Journal of Laparoendoscopic & Advanced Surgical Techniques . Feb2019, Vol. 29 Issue 2, p278-281. 4p. 3 Diagrams, 1 Chart. - Publication Year :
- 2019
-
Abstract
- <bold>Purpose: </bold>The purpose of this report was to evaluate the safety and efficacy of the simple laparoscopic percutaneous extraperitoneal closure (LPEC) method for treating ovarian hernia patients, including newborns and low-birth-weight infants.<bold>Methods: </bold>We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017.<bold>Results: </bold>Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). The mean corrected age was 2.3 ± 2.8 months and the mean body weight was 4.4 ± 1.6 kg. The contralateral positive rate was 53%, and 34% of the cases showed sliding of the fallopian tube. Umbilical hernias were observed in 24 cases (71%). The mean operative time was 53 ± 20 minutes. The LPEC procedure was successful in 32 cases; two cases were converted to open surgery.<bold>Conclusion: </bold>Small infants with ovarian hernia have some specific features such as a shortened round ligament and the presence of peritoneum cavities that require skillful techniques when being surgically repaired. The simple LPEC procedure can be performed safely with a low risk of recurrence, even in infants with sliding of the fallopian tube. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10926429
- Volume :
- 29
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Journal of Laparoendoscopic & Advanced Surgical Techniques
- Publication Type :
- Academic Journal
- Accession number :
- 134668334
- Full Text :
- https://doi.org/10.1089/lap.2018.0425