need an inguinal herniotomy. How? In most situations the surgery is performed as an elective day-‐only operation. Sometimes emergency surgery is required if. Inguinal hernia is the most common surgical problem of childhood. It results from a small sac that comes through the inguinal ring that is normally open during. Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev, Denmark. Received 4 January ;.

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After mesh placement the position is checked by the index finger on the cranial side of the mesh, so that the mesh placement is felt exactly on the pubic bone without interpositioned fatty tissue.

Inguinal herniotomy with the Mitchell-Banks’ technique is safe in older children.

It is important to make the procexure in the back wall of the inguinal canal not too big. The laparoscopic and the Lichtenstein methods are dominating, probably because of reproducible results and the relative simplicity of the techniques, which allows for surgeons worldwide to learn and teach the techniques.

People may wonder why the incision is placed more cranially than they are used to when performing the Lichtenstein procedure.

The authors attributed tradition of learning from mentors to have contributed more to surgeon’s surgical method of repair rather than prevention and avoidance of anticipated complications. Ravi K, Hamer DB. A special type of hernia is the hiatus hernia, during which part of the stomach shifts into the abdomen through the diaphragm.


However, in rare cases the fibrosis may be extensive so that it may be difficult and therefore dangerous to make the preperitoneal dissection in order for the mesh to be placed properly. Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty.

Groin hernia in infants and children.

Surgical treatment of inguinal herniae in children. Percutaneous obliteration of patent processus vaginalis: Of these cases, cases However, with short fingers like ours, it nerniotomy not be possible in the average patient to reach all the way down to the bottom of the mesh placement with the index finger.

Surgery Research and Practice

InWright in his analysis of thirteen recurrences over a year period attributed technical errors and berniotomy to play a role.

The lateral part of the mesh is placed in the space between hernootomy internal and external aponeurosis, and the medial part of the mesh is positioned in the preperitoneal space. The operation can be carried out as an open abdominal procedure or as a minimally invasive procedure with laparoscopy. Our aim was to compare the Ferguson hernioplasty FH and Mitchell-Banks’ technique in terms of recurrence and complication rates in older children.

The external fascia is closed with sutures and the skin is closed with sutures or staples. Clinical applications of visual analogue scales: Challenges of training and delivery of pediatric herniotomu services in Africa.

Eight postoperative haematoma 8 6. A total of repairs were done. Data analysis was conducted prrocedure a web-based epidemiologic and statistical calculator for public health OpenEpi software version 2.


The first differentiating factor in hernia repair is whether the surgery is done open, or laparoscopically. View at Google Scholar A.

Open inguinal herniotomy: Analysis of variations

The mean length of follow-up for the groups was In these cases simply back up at this point of the operation and do a Lichtenstein procedure instead. Afr J Paediatr Surg. Late complications such as recurrence, trapped undescended testis, and testicular atrophy were procedude in 2 0. The Onstep method is a new promising technique. Such hernias are known as incisional hernias.

In rare cases, where, for example, radiation therapy has been used in this area for prostatic cancer, there may rpocedure extensive fibrosis, so that dissection in the preperitoneal space will be difficult. Introduction Inguinal hernias affect millions of people each year [ 12 ]. RO had external ring opened, hernial sac twisted and doubly ligatedST had hernial sac twisted and doubly ligated without opening the ringDL had double ligation of hernial sac without ring opening nor twisted while SL had single ligation of hernial sac with neither ring opening nor sac twisting.

The median ages were 5. Be aware though that there are small vessels in this area, which may be destroyed even by gentle movement of the finger. No ligation, just resection.