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Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study
Joint Authors
Shalaby, Rafik
Ibrahem, Refaat
Shahin, Mohamed
Yehya, Abdelaziz
Abdalrazek, Mohamed
Alsayaad, Ibrahim
Shouker, Maged Ali
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-27
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Laparoscopic hernia repair in infancy and childhood is still debatable.
The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results.
Patients and Methods.
Two hundred and fifty patients with inguinal hernia were randomized into two equal groups.
Group A was subjected to laparoscopic inguinal hernia repair.
Group B was subjected to open herniotomy.
The demographic data were matched between both groups.
Assessment of the testicular volume and duplex assessment in preoperative, early, and late postoperative periods were done.
Results.
All cases were completed successfully without conversion.
The mean operative time for group A was 7.6±3.5 minutes, 9.2±4.6 minutes and 11.4±2.7 minutes, for unilateral hernia, unilateral hernia in obese child, and bilateral hernia, respectively.
The recurrence rate was 0.8% in group A, whereas in group B the recurrence rate was 2.4%.
Conclusion.
Laparoscopic hernia repair by RN is an effective line of hernia repair.
It resulted in marked reduction of operative time, low rate of recurrence, no testicular atrophy, no iatrogenic ascent of the testis, and excellent cosmetic results.
American Psychological Association (APA)
Shalaby, Rafik& Ibrahem, Refaat& Shahin, Mohamed& Yehya, Abdelaziz& Abdalrazek, Mohamed& Alsayaad, Ibrahim…[et al.]. 2012. Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study. Minimally Invasive Surgery،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-1001297
Modern Language Association (MLA)
Shalaby, Rafik…[et al.]. Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study. Minimally Invasive Surgery No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-1001297
American Medical Association (AMA)
Shalaby, Rafik& Ibrahem, Refaat& Shahin, Mohamed& Yehya, Abdelaziz& Abdalrazek, Mohamed& Alsayaad, Ibrahim…[et al.]. Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study. Minimally Invasive Surgery. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-1001297
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1001297