Frontiers in Surgery (Nov 2022)

Single-port laparoscopy-assisted trans-scrotal hernia sac ligation for pediatric male inguinal hernia

  • Tian Hang,
  • Qichao Ma,
  • Zhihua Hong,
  • Jianfeng Wang,
  • Zhicai Ling,
  • Houwei Lin,
  • Houwei Lin

DOI
https://doi.org/10.3389/fsurg.2022.944004
Journal volume & issue
Vol. 9

Abstract

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ObjectiveWe report the introduction of a novel single-port laparoscopic-assisted trans-scrotal hernia sac ligation (LAT-HSL) technique for the treatment of inguinal hernias in pediatric males. In this article, we describe the LAT-HSL technique and the outcomes.MethodsTwenty-five male children with confirmed unilateral inguinal hernia who underwent surgical treatment from January 2020 to September 2021 were selected for this study. All children underwent surgical treatment with LAT-HSL, and the operative time, hospital stay, and postoperative results and complications were recorded.ResultsAll 25 cases underwent LAT-HSL with minimal perioperative complications, and all children were successfully discharged from the hospital postoperatively. At the postoperative follow-up, there was no retraction or atrophy of the testes, no incisional infection, no chronic pain, no urinary retention, and no recurrent hernias.ConclusionSingle-port LAT-HSL allows for rapid and accurate localization of the extra-abdominal hernia sac. The method is safe, easy to perform, and adaptable. Additionally, the scar is hidden, and the operation time is short.

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