Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2021  |  Volume : 26  |  Issue : 2  |  Page : 107--110

Laparoscopic Inguinal Hernia Repair in Children: To Cut or Not to Cut is the Question?


Kirtikumar J Rathod1, Rupesh Sikchi1, Ayushi Vig1, Avinash Jadhav1, Rahul Saxena1, Manish Pathak1, Pradeep Bhatia2, Arvind Sinha1 
1 Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
2 Department of Anaesthesiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Correspondence Address:
Dr. Kirtikumar J Rathod
All India Institute of Medical Sciences, Jodhpur, Rajasthan
India

Context: Laparoscopic repair of pediatric inguinal hernia is gaining popularity, however there is no consensus about the technique of operation. Aims: The aim of the study was to compare the results and complications of two techniques of laparoscopic pediatric hernia repair. Settings and Design: This retrospective study was conducted at the Department of Pediatric Surgery in All India Institute of Medical Sciences (AIIMS), Jodhpur. Subjects and Methods: All children who underwent laparoscopic inguinal hernia repair at AIIMS, Jodhpur, during the period of September 2016–March 2019 were retrospectively studied. Parameters studied included age, gender, side of hernia, technique used, operating time, complications, and hospital stay. Patients were divided into two groups depending on whether the hernial sac was divided or not divided before taking a purse-string suture. Statistical Analysis Used: Student's t-test and Fischer exact test were used to analyze data. Results: A total of 114 patients were included in the study. The median age was 36.4 months. Hernial sac was divided before suturing in 53 patients, while sac was left intact in 61 patients. The mean follow-up was 11.4 months (range: 4–16). Age, gender, side of hernia, complications, and hospital stay were comparable in both groups. There was a significant difference between the mean operating duration in patients who underwent division of hernia sac compared to patients in whom the sac was not divided before putting purse-string suture (92.5 min [45–150] vs. 65.7 [30–90], respectively, P = 0.0101). Hernia recurrence (3.8% in Group A vs. 1.6% in Group B) was comparable in the two groups. Conclusions: Laparoscopic pediatric hernia repair done with or without dividing the peritoneal sac gives comparable results, however operative duration is less if sac is not divided.


How to cite this article:
Rathod KJ, Sikchi R, Vig A, Jadhav A, Saxena R, Pathak M, Bhatia P, Sinha A. Laparoscopic Inguinal Hernia Repair in Children: To Cut or Not to Cut is the Question?.J Indian Assoc Pediatr Surg 2021;26:107-110


How to cite this URL:
Rathod KJ, Sikchi R, Vig A, Jadhav A, Saxena R, Pathak M, Bhatia P, Sinha A. Laparoscopic Inguinal Hernia Repair in Children: To Cut or Not to Cut is the Question?. J Indian Assoc Pediatr Surg [serial online] 2021 [cited 2022 Sep 25 ];26:107-110
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2021;volume=26;issue=2;spage=107;epage=110;aulast=Rathod;type=0