Eur J Pediatr Surg 2017; 27(06): 465-471
DOI: 10.1055/s-0037-1608685
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Inguinal Hernia Repair in Infants and Children: State-of-the-Art Technique

Ivy Hau-yee Chan
1   Department of Surgery, Queen Mary Hospital, Hong Kong
2   Department of Surgery, The University of Hong Kong, Hong Kong
,
Paul Kwong-hang Tam
1   Department of Surgery, Queen Mary Hospital, Hong Kong
2   Department of Surgery, The University of Hong Kong, Hong Kong
› Author Affiliations
Further Information

Publication History

18 October 2017

24 October 2017

Publication Date:
22 November 2017 (online)

Abstract

Pediatric inguinal hernia is one of the most common surgical conditions with open herniotomy being the gold standard of treatment. With the advances of laparoscopic surgery, it has emerged as an alternative to open repair with reported good results. However, laparoscopic hernia repair is not yet a routine procedure in many centers, and debate of laparoscopic versus open repair still exists. After 20 years of development of laparoscopic hernia repair, different techniques have been described with no consensus on the standard technique right now. This article reviews the latest updates of laparoscopic repair from the current evidence in the literature. Laparoscopic management of hernia in premature/small infants and hernia incarceration are also discussed here.

 
  • References

  • 1 Miltenburg DM, Nuchtern JG, Jaksic T, Kozinetz CA, Brandt ML. Meta-analysis of the risk of metachronous hernia in infants and children. Am J Surg 1997; 174 (06) 741-744
  • 2 Antonoff MB, Kreykes NS, Saltzman DA, Acton RD. American Academy of Pediatrics Section on Surgery hernia survey revisited. J Pediatr Surg 2005; 40 (06) 1009-1014
  • 3 Lobe TE, Schropp KP. Inguinal hernias in pediatrics: initial experience with laparoscopic inguinal exploration of the asymptomatic contralateral side. J Laparoendosc Surg 1992; 2 (03) 135-140
  • 4 Schier F. Laparoscopic herniorrhaphy in girls. J Pediatr Surg 1998; 33 (10) 1495-1497
  • 5 Montupet P, Esposito C. Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg 1999; 34 (03) 420-423
  • 6 Ostlie DJ, Ponsky TA. Technical options of the laparoscopic pediatric inguinal hernia repair. J Laparoendosc Adv Surg Tech A 2014; 24 (03) 194-198
  • 7 Chan KL, Hui WC, Tam PK. Prospective randomized single-center, single-blind comparison of laparoscopic vs open repair of pediatric inguinal hernia. Surg Endosc 2005; 19 (07) 927-932
  • 8 Saranga Bharathi R, Arora M, Baskaran V. Pediatric inguinal hernia: laparoscopic versus open surgery. JSLS 2008; 12 (03) 277-281
  • 9 Zani A, Eaton S, Hoellwarth M. , et al. Management of pediatric inguinal hernias in the era of laparoscopy: results of an international survey. Eur J Pediatr Surg 2014; 24 (01) 9-13
  • 10 Yang C, Zhang H, Pu J, Mei H, Zheng L, Tong Q. Laparoscopic vs open herniorrhaphy in the management of pediatric inguinal hernia: a systemic review and meta-analysis. J Pediatr Surg 2011; 46 (09) 1824-1834
  • 11 Esposito C, St Peter SD, Escolino M, Juang D, Settimi A, Holcomb III GW. Laparoscopic versus open inguinal hernia repair in pediatric patients: a systematic review. J Laparoendosc Adv Surg Tech A 2014; 24 (11) 811-818
  • 12 Feng S, Zhao L, Liao Z, Chen X. Open versus laparoscopic inguinal herniotomy in children: a systematic review and meta-analysis focusing on postoperative complications. Surg Laparosc Endosc Percutan Tech 2015; 25 (04) 275-280
  • 13 Davies DA, Rideout DA, Clarke SA. The international pediatric endosurgery group evidence-based guideline on minimal access approaches to the operative management of inguinal hernia in children. J Laparoendosc Adv Surg Tech A 2017
  • 14 Society of American Gastrointestinal and Endoscopic Surgeons. Pediatric laparoscopic inguinal hernia repair: a review of techniques. . Available at: https://www.sages.org/wiki/pediatric-laparoscopic-inguinal-hernia-repair-a-review-of-techniques/ . Accessed September 28, 2017
  • 15 Raveenthiran V, Agarwal P. Choice of repairing inguinal hernia in children: open versus laparoscopy. Indian J Pediatr 2017; 84 (07) 555-563
  • 16 Yip KF, Tam PK, Li MK. Laparoscopic flip-flap hernioplasty: an innovative technique for pediatric hernia surgery. Surg Endosc 2004; 18 (07) 1126-1129
  • 17 Hassan ME, Mustafawi AR. Laparoscopic flip-flap technique versus conventional inguinal hernia repair in children. JSLS 2007; 11 (01) 90-93
  • 18 Chan KL, Tam PK. A safe laparoscopic technique for the repair of inguinal hernias in boys. J Am Coll Surg 2003; 196 (06) 987-989
  • 19 Riquelme M, Aranda A, Riquelme-Q M. Laparoscopic pediatric inguinal hernia repair: no ligation, just resection. J Laparoendosc Adv Surg Tech A 2010; 20 (01) 77-80
  • 20 Blatnik JA, Harth KC, Krpata DM, Kelly KB, Schomisch SJ, Ponsky TA. Stitch versus scar--evaluation of laparoscopic pediatric inguinal hernia repair: a pilot study in a rabbit model. J Laparoendosc Adv Surg Tech A 2012; 22 (08) 848-851
  • 21 Wheeler AA, Matz ST, Schmidt S, Pimpalwar A. Laparoscopic inguinal hernia repair in children with transperitoneal division of the hernia sac and proximal purse string closure of peritoneum: our modified new approach. Eur J Pediatr Surg 2011; 21 (06) 381-385
  • 22 Prasad R, Lovvorn III HN, Wadie GM, Lobe TE. Early experience with needleoscopic inguinal herniorrhaphy in children. J Pediatr Surg 2003; 38 (07) 1055-1058
  • 23 Harrison MR, Lee H, Albanese CT, Farmer DL. Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: a novel technique. J Pediatr Surg 2005; 40 (07) 1177-1180
  • 24 Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg 2006; 41 (12) 1999-2003
  • 25 Shalaby RY, Fawy M, Soliman SM, Dorgham A. A new simplified technique for needlescopic inguinal herniorrhaphy in children. J Pediatr Surg 2006; 41 (04) 863-867
  • 26 Li S, Li M, Wong KK, Liu L, Tam PK. Laparoscopically assisted simple suturing obliteration (LASSO) of the internal ring using an epidural needle: a handy single-port laparoscopic herniorrhaphy in children. J Pediatr Surg 2014; 49 (12) 1818-1820
  • 27 Park SM, Shukri N, Chang EY, Ho IG, Han SJ. Laparoscopic surgical glue injection hernioplasty: a single-institution experience. J Laparoendosc Adv Surg Tech A 2016; 26 (06) 488-492
  • 28 Novotny NM, Puentes MC, Leopold R, Ortega M, Godoy-Lenz J. The Burnia: laparoscopic sutureless inguinal hernia repair in girls. J Laparoendosc Adv Surg Tech A 2017; 27 (04) 430-433
  • 29 Wenk K, Sick B, Sasse T, Moehrlen U, Meuli M, Vuille-dit-Bille RN. Incidence of metachronous contralateral inguinal hernias in children following unilateral repair – a meta-analysis of prospective studies. J Pediatr Surg 2015; 50 (12) 2147-2154
  • 30 Kokorowski PJ, Wang HH, Routh JC, Hubert KC, Nelson CP. Evaluation of the contralateral inguinal ring in clinically unilateral inguinal hernia: a systematic review and meta-analysis. Hernia 2014; 18 (03) 311-324
  • 31 Chin TW, Pan ML, Lee HC, Tsai HL, Liu CS. Second hernia repairs in children – a nationwide study. J Pediatr Surg 2015; 50 (12) 2056-2059
  • 32 Koivusalo AI, Korpela R, Wirtavuori K, Piiparinen S, Rintala RJ, Pakarinen MPA. A single-blinded, randomized comparison of laparoscopic versus open hernia repair in children. Pediatrics 2009; 123 (01) 332-337
  • 33 Lee SL, Sydorak RM, Lau ST. Laparoscopic contralateral groin exploration: is it cost effective?. J Pediatr Surg 2010; 45 (04) 793-795
  • 34 Miyake H, Fukumoto K, Yamoto M. , et al. Risk factors for recurrence and contralateral inguinal hernia after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia. J Pediatr Surg 2017; 52 (02) 317-321
  • 35 Grimsby GM, Keays MA, Villanueva C. , et al. Non-absorbable sutures are associated with lower recurrence rates in laparoscopic percutaneous inguinal hernia ligation. J Pediatr Urol 2015; 11 (05) 275.e1-275.e4
  • 36 Tanriverdi HI, Senel U, Ozmen Z, Aktaş F. Does the percutaneous internal ring suturing technique impair testicular vascularization in children undergoing inguinal hernia repair?. J Laparoendosc Adv Surg Tech A 2015; 25 (11) 951-953
  • 37 Nagraj S, Sinha S, Grant H, Lakhoo K, Hitchcock R, Johnson P. The incidence of complications following primary inguinal herniotomy in babies weighing 5 kg or less. Pediatr Surg Int 2006; 22 (06) 500-502
  • 38 Esposito C, Turial S, Escolino M. , et al. Laparoscopic inguinal hernia repair in premature babies weighing 3 kg or less. Pediatr Surg Int 2012; 28 (10) 989-992
  • 39 Turial S, Enders J, Krause K, Schier F. Laparoscopic inguinal herniorrhaphy in premature infants. Eur J Pediatr Surg 2010; 20 (06) 371-374
  • 40 Turial S, Enders J, Krause K, Schier F. Laparoscopic inguinal herniorrhaphy in babies weighing 5 kg or less. Surg Endosc 2011; 25 (01) 72-78
  • 41 Chan IH, Lau CT, Chung PH. , et al. Laparoscopic inguinal hernia repair in premature neonates: is it safe?. Pediatr Surg Int 2013; 29 (04) 327-330
  • 42 Zamakhshary M, To T, Guan J, Langer JC. Risk of incarceration of inguinal hernia among infants and young children awaiting elective surgery. CMAJ 2008; 179 (10) 1001-1005
  • 43 Chan KW, Lee KH, Tam YH, Sihoe JD, Cheung ST, Mou JW. Laparoscopic inguinal hernia repair by the hook method in emergency setting in children presenting with incarcerated inguinal hernia. J Pediatr Surg 2011; 46 (10) 1970-1973
  • 44 Esposito C, Turial S, Alicchio F. , et al. Laparoscopic repair of incarcerated inguinal hernia. A safe and effective procedure to adopt in children. Hernia 2013; 17 (02) 235-239
  • 45 Nah SA, Giacomello L, Eaton S. , et al. Surgical repair of incarcerated inguinal hernia in children: laparoscopic or open?. Eur J Pediatr Surg 2011; 21 (01) 8-11
  • 46 Becmeur F, Philippe P, Lemandat-Schultz A. , et al. A continuous series of 96 laparoscopic inguinal hernia repairs in children by a new technique. Surg Endosc 2004; 18 (12) 1738-1741
  • 47 Lipskar AM, Soffer SZ, Glick RD, Rosen NG, Levitt MA, Hong AR. Laparoscopic inguinal hernia inversion and ligation in female children: a review of 173 consecutive cases at a single institution. J Pediatr Surg 2010; 45 (06) 1370-1374