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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 ORIGINAL ARTICLE
Year : 2015  |  Volume : 20  |  Issue : 4  |  Page : 170-173

A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision


1 Divisions of Pediatric Surgery, Mayo Clinic, Rochester, Minnesota, USA
2 European Gaza Hospital, Palestinian Territories, Gaza, Palestine
3 General Surgery, Mayo Clinic, Rochester, Minnesota, USA

Correspondence Address:
Dr. Abdalla E Zarroug
Division of Pediatric Surgery, Mayo Clinic, 200 First Street South West, Rochester - 55905, Minnesota
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.154649

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Background: Inguinal hernia repair remains one of the most common operations performed by pediatric surgeons. We described a new surgical approach for treating bilateral inguinal hernias in girls through a small single transverse supra-pubic incision. Materials and Methods: A new approach was performed on female children 12-years-old and younger with bilateral inguinal hernias between January 2005 and April 2012. Technique: A single transverse suprapubic incision (1-1.5 cm) was made. Using sharp and blunt dissection bilateral hernias were exposed and repaired using a standard high ligation. Results: Ninety-nine girls with a preoperative clinical diagnosis of bilateral inguinal hernia were included. Median age was 2 years (range: 1 month to 12 years). All patients underwent general anesthesia. Median operative time was 12 minutes (range 5-22). There were no intra-operative complications or misdiagnosis. Two patients had bilateral sliding hernias and the remainder had indirect hernias. Post-operatively two patients developed non-expanding small hematomas, both treated non-operatively without sequelae. There were zero hernia recurrence and median follow-up was 5 years (range: 1-8 years) on 99% of patients. Conclusion: We described a new, safe, simple, and rapid approach for bilateral inguinal hernia repair in female pediatric population. A single transverse suprapubic skin incision was adequate for exposing both inguinal regions with excellent postoperative results.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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