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Çocuklarda Laparoskopi Destekli Perkütan İç Halka Kapatılması Tekniği ile Kasık Fıtığı Onarımı – Tek Merkez Deneyimi

Yıl 2022, Cilt: 16 Sayı: 1, 60 - 64, 28.01.2022
https://doi.org/10.12956/tchd.876778

Öz

Amaç: Kasık fıtığı cerrahisinde, fıtık kesesinin yüksek ligasyonu temel prensip olarak uygulanmaktadır. Günümüzde kasık fıtığı ameliyatlarının minimal invaziv yöntemlerle ve teknolojideki gelişmelerin yardımıyla aynı başarı oranları ile yapılması mümkün olmaktadır. Bu minimal invaziv yöntemlerden biri de laparoskopi destekli perkütan iç halka kapatılması yöntemidir.
Bu çalışmada, laparoskopi destekli perkütan iç halka kapatılması yöntemi ile tedavi ettiğimiz olgu serimizi ve ameliyat sonrası altı aya kadar olan sonuçlarını sunmayı amaçladık.

Gereç ve Yöntemler: Hastanemiz Çocuk Cerrahisi Kliniğine 01 Kasım 2019- 29 Şubat 2020 tarihleri arasında endirekt kasık fıtığı ile başvuran çocuk hastalar çalışmaya dahil edildi. İnkarsere kasık fıtığına ait klinik özellikleri taşıyan hastalar çalışma dışı bırakıldı.
Laparoskopi destekli perkütan iç halka kapatılması yöntemi ile kasık fıtığı onarımı yapıldı.

Bulgular: Çalışmanın yapıldığı süre içerisinde 27 hastada 36 kasık fıtığı onarımı yapıldı. Yaş gruplarının dağılımı 24 ay üstü (8/27), 2-6 ay arası (5/27), 6-12 ay arası (4/27) ve 12-24 ay arası (1/27)’dir. Hiçbir hastada açık cerrahi tekniğe ya da ek trokar kullanılmasına gerek olmadı. Ortalama ameliyat süresi 24.3±1.77 dakikaydı. Hastaların hastanede ortalama yatış süresi 2.15±0.12 gündü.
Hastaların takiplerinde rekürrans, karın içi komplikasyon ya da kasık bölgesinde komplikasyon saptanmadı.

Sonuç: Çocukluk çağında laparoskopi desteğinde uygulanan perkütan iç halka kapatma yönteminin endirekt kasık fıtığı onarımı için kolay ve güvenli olarak uygulanabilen bir yöntem olduğunu saptadık.

Destekleyen Kurum

Yoktur

Kaynakça

  • 1. Lau WY: History of treatment of groin hernia. World J Surg 2002, 26(6):748-759.
  • 2. Sachs M, Damm M, Encke A: Historical evolution of inguinal hernia repair. World journal of surgery 1997, 21(2):218-223.
  • 3. Schier F, Montupet P, Esposito C: Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. Journal of pediatric surgery 2002, 37(3):395-397.
  • 4. Patkowski D, Czernik J, Chrzan R, Jaworski W, Apoznański W: Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. Journal of Laparoendoscopic & Advanced Surgical Techniques 2006, 16(5):513-517.
  • 5. Wolak PK, Patkowski D: Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique–own experience. Videosurgery and Other Miniinvasive Techniques 2014, 9(1):53-58
  • 6. Danielson J, Pakkasjärvi N, Högberg N: Percutaneous Hernia Repair in Children: Safe to introduce. Scandinavian Journal of Surgery 2020:1457496920918151.
  • 7. Dreuning K, Maat S, Twisk J, van Heurn E, Derikx J: Laparoscopic versus open pediatric inguinal hernia repair: state-of-the-art comparison and future perspectives from a meta-analysis. Surgical endoscopy 2019:1:3177-3191.
  • 8. Thomas DT, Göcmen KB, Tulgar S, Boga I: Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: experience with 250 cases. Journal of Pediatric Surgery 2016, 51(8):1330-1335.
  • 9. Tanger R, Singh AP, Gupta AK, Mathur V: Laparoscopic inguinal hernia repair in girls using the percutaneous internal ring suturing technique–our own experience. Menoufia Medical Journal 2020, 33(2):713-716.
  • 10. Miyake H, Fukumoto K, Yamoto M, Nakajima H, Sekioka A, Yamada Y, Nomura A, Urushihara N: Risk factors for recurrence and contralateral inguinal hernia after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia. Journal of Pediatric Surgery 2017, 52(2):317-321.
  • 11. 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. Journal of pediatric surgery 2006, 41(12):1999-2003.
  • 12. Timberlake MD, Herbst KW, Rasmussen S, Corbett ST: Laparoscopic percutaneous inguinal hernia repair in children: review of technique and comparison with open surgery. Journal of pediatric urology 2015, 11(5): 262.e1-262.e6
  • 13. Pogorelić Z: Effects of laparascopic hernia repair by PIRS (percutaneous internal ring suturing) technique on testicular artery blood supply. J Investig Surg 2018, 12: 348-349.
  • 14. Oral A, Karaca L, Ahiskalioglu A, Yildiz A, Yigiter M, Celikkaya ME, Chyndolotov T, Salman AB: Effects of laparoscopic hernia repair by PIRS (Percutan Internal Ring Suturing) technique on testicular artery blood supply. Journal of Investigative Surgery 2019;32: 343-347.
  • 15. Chen J-C, Zhang Q-L, Chen L, Wang Y-J, Huang W-H, Zhou C-M: Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls. Minimally Invasive Therapy & Allied Technologies 2020:1-7.

Inguinal Hernia Repair with Laparoscopic-Supported Percutaneous Internal Ring Suturing Technique in Children - One Center Experience

Yıl 2022, Cilt: 16 Sayı: 1, 60 - 64, 28.01.2022
https://doi.org/10.12956/tchd.876778

Öz

Objective: High ligation of the hernia sac is applied as the basic principle in inguinal hernia surgery. Nowadays, it is possible to perform inguinal hernia surgeries with minimally invasive methods and with the help of technological developments with the same success rates. One of these minimally invasive methods is the percutaneous internal ring suturing method, assisted by laparoscopy.
In this study, we aimed to present the case series that we treated with a laparoscopy-assisted percutaneous internal ring suturing and its results up to six months after surgery.

Material and Methods: Pediatric patients admitted to the Pediatric Surgery Clinic of Our Hospital with indirect inguinal hernia between November 01, 2019, and February 29, 2020, were included in the study. Patients with clinical features of incarcerated inguinal hernia were excluded from the study.
Inguinal hernia repair was performed by the percutaneous internal ring suturing method supported by laparoscopy.

Results: During the study period, 36 inguinal hernia repairs were performed in 27 patients. The distribution of age groups is over 24 months (8/27), 2-6 months (5/27), 6-12 months (4/27), and 12-24 months (1/27). No patient required open surgical technique or the use of additional trocars. The mean operation time was 24.3±1.77 minutes. The mean hospitalization period of the patients was 2.15±0.12 days.
During the follow-up of the patients, no recurrence, intra-abdominal complication, or inguinal complication was detected.

Conclusion: We found that the percutaneous internal ring closure method applied under laparoscopic support in childhood is an easy and safe method for indirect inguinal hernia repair.

Kaynakça

  • 1. Lau WY: History of treatment of groin hernia. World J Surg 2002, 26(6):748-759.
  • 2. Sachs M, Damm M, Encke A: Historical evolution of inguinal hernia repair. World journal of surgery 1997, 21(2):218-223.
  • 3. Schier F, Montupet P, Esposito C: Laparoscopic inguinal herniorrhaphy in children: a three-center experience with 933 repairs. Journal of pediatric surgery 2002, 37(3):395-397.
  • 4. Patkowski D, Czernik J, Chrzan R, Jaworski W, Apoznański W: Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. Journal of Laparoendoscopic & Advanced Surgical Techniques 2006, 16(5):513-517.
  • 5. Wolak PK, Patkowski D: Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique–own experience. Videosurgery and Other Miniinvasive Techniques 2014, 9(1):53-58
  • 6. Danielson J, Pakkasjärvi N, Högberg N: Percutaneous Hernia Repair in Children: Safe to introduce. Scandinavian Journal of Surgery 2020:1457496920918151.
  • 7. Dreuning K, Maat S, Twisk J, van Heurn E, Derikx J: Laparoscopic versus open pediatric inguinal hernia repair: state-of-the-art comparison and future perspectives from a meta-analysis. Surgical endoscopy 2019:1:3177-3191.
  • 8. Thomas DT, Göcmen KB, Tulgar S, Boga I: Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: experience with 250 cases. Journal of Pediatric Surgery 2016, 51(8):1330-1335.
  • 9. Tanger R, Singh AP, Gupta AK, Mathur V: Laparoscopic inguinal hernia repair in girls using the percutaneous internal ring suturing technique–our own experience. Menoufia Medical Journal 2020, 33(2):713-716.
  • 10. Miyake H, Fukumoto K, Yamoto M, Nakajima H, Sekioka A, Yamada Y, Nomura A, Urushihara N: Risk factors for recurrence and contralateral inguinal hernia after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia. Journal of Pediatric Surgery 2017, 52(2):317-321.
  • 11. 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. Journal of pediatric surgery 2006, 41(12):1999-2003.
  • 12. Timberlake MD, Herbst KW, Rasmussen S, Corbett ST: Laparoscopic percutaneous inguinal hernia repair in children: review of technique and comparison with open surgery. Journal of pediatric urology 2015, 11(5): 262.e1-262.e6
  • 13. Pogorelić Z: Effects of laparascopic hernia repair by PIRS (percutaneous internal ring suturing) technique on testicular artery blood supply. J Investig Surg 2018, 12: 348-349.
  • 14. Oral A, Karaca L, Ahiskalioglu A, Yildiz A, Yigiter M, Celikkaya ME, Chyndolotov T, Salman AB: Effects of laparoscopic hernia repair by PIRS (Percutan Internal Ring Suturing) technique on testicular artery blood supply. Journal of Investigative Surgery 2019;32: 343-347.
  • 15. Chen J-C, Zhang Q-L, Chen L, Wang Y-J, Huang W-H, Zhou C-M: Single-port laparoscopic percutaneous closure of the internal ring for scarless repair of inguinal hernias in girls. Minimally Invasive Therapy & Allied Technologies 2020:1-7.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm ORIGINAL ARTICLES
Yazarlar

Mehmet Ali Narsat 0000-0002-6496-1965

Ayşe Yılmaz 0000-0001-7635-0830

Eren Yıldız 0000-0002-8056-5727

Yayımlanma Tarihi 28 Ocak 2022
Gönderilme Tarihi 8 Şubat 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 16 Sayı: 1

Kaynak Göster

Vancouver Narsat MA, Yılmaz A, Yıldız E. Inguinal Hernia Repair with Laparoscopic-Supported Percutaneous Internal Ring Suturing Technique in Children - One Center Experience. Türkiye Çocuk Hast Derg. 2022;16(1):60-4.

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