Archives of Public Health

Vol. 9 No. 1 (2017): Archives of Public Health
Clinical Science

Comparison of laparoscopic hernia repair with conventional technique in female children with indirect inguinal hernia

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  • Тони (Toni) Мирче (Mirce) Ристески (Risteski),
  • Ристо (Risto) Симеонов (Simeonov),
  • Шабан (Shaban) Мемети (Memeti),
  • Весна (Vesna) Наунова (Naunova),
  • Миле (Mile) Петровски (Petrovsкi)
Тони (Toni) Мирче (Mirce) Ристески (Risteski)
Универзитетска Клиника за детска хирургија, Медицински Факултет, Универзитет Св. Кирил и Методиј, Скопје, Република Македонија (University Clinic for pediatric surgery, Medical Faculty, University Sts Ciril and Methodius, Skopje, Republic of Macedonia)
Ристо (Risto) Симеонов (Simeonov)
Универзитетска Клиника за детска хирургија, Медицински Факултет, Универзитет Св. Кирил и Методиј, Скопје, Република Македонија (University Clinic for pediatric surgery, Medical Faculty, University Sts Ciril and Methodius, Skopje, Republic of Macedonia)
Шабан (Shaban) Мемети (Memeti)
Универзитетска Клиника за детска хирургија, Медицински Факултет, Универзитет Св. Кирил и Методиј, Скопје, Република Македонија (University Clinic for pediatric surgery, Medical Faculty, University Sts Ciril and Methodius, Skopje, Republic of Macedonia)
Весна (Vesna) Наунова (Naunova)
Универзитетска Клиника за детска хирургија, Медицински Факултет, Универзитет Св. Кирил и Методиј, Скопје, Република Македонија (University Clinic for pediatric surgery, Medical Faculty, University Sts Ciril and Methodius, Skopje, Republic of Macedonia)
Миле (Mile) Петровски (Petrovsкi)
Универзитетска Клиника за детска хирургија, Медицински Факултет, Универзитет Св. Кирил и Методиј, Скопје, Република Македонија (University Clinic for pediatric surgery, Medical Faculty, University Sts Ciril and Methodius, Skopje, Republic of Macedonia)

Published 2017-08-19

Keywords

  • ингвинална хернија,
  • женски деца,
  • лапароскопски асистирана техника

How to Cite

1.
Ристески (Risteski) Тони (Toni) Мирче (Mirce), Симеонов (Simeonov) Ристо (Risto), Мемети (Memeti) Шабан (Shaban), Наунова (Naunova) Весна (Vesna), Петровски (Petrovsкi) Миле (Mile). Comparison of laparoscopic hernia repair with conventional technique in female children with indirect inguinal hernia. Arch Pub Health [Internet]. 2017 Aug. 19 [cited 2024 Apr. 19];9(1):18-25. Available from: https://www.id-press.eu/aph/article/view/1071
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Abstract

The study aims to compare the conventional open technique for treating inguinal hernia versus laparoscopic assisted technique of percutaneous closure of the internal inguinal ring in female children with clinically diagnosed indirect inguinal hernia. Materials and methods: The study is a prospective analytical (case control) study performed at the University Clinic for Pediatric Surgery in Skopje in the period 2015-16. Twenty  female children aged 1-14 years with clinically diagnosed indirect inguinal hernia were analyzed. Children from the experimental group were treated with laparoscopic hernia repair, and those from the control group with conventional techniques. Results: The average duration of the intervention in the experimental and control group was 27.6 ± 6.1 vs.64.8 ± 7.2 minutes. The length of hospital stay in the two groups was 10.8 ± 3.1 vs. 27.2 ± 4.2 hours. The shortest stay was 8 vs. 24 hours and the longest 18 vs. 36 hours. Fifty percent of the children in the experimental group took up a normal position in bed for less than 4 hours compared to the control group in which it happened in 9 hours. The average time to recovery from bed in the two groups was 4.1 ± 0.9 vs. 9.9 ± 1.8 hours with a minimum of 3 vs. 7 and maximum of 6 vs. 12 hours. The average length of the mark was 1.9 ± 0.9 mm in the experimental and 34.8 ± 17.4 mm in the control group. Analgesia because of pain was given to 2 (20%) children in the experimental group and to 8 (80%) in the control group. Easy impressive scar have 8 (80%) patients in the control group and no patient in the experimental group. The mark does not disturb the esthetics in 9 (90%) of patients in the experimental group and in 2 (20%) in the control group. Conclusion: Laparoscopic assisted technique of percutaneous closure of the internal inguinal ring with one port represents a minimally invasive method and ultimate achievement in this field for treatment of inguinal hernias in children, with special advantage in females.

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