Universität zu Köln

Troebs, R-B., Yilmaz, B., Bahr, M., Cernaianu, G. and Vahdad, R. M. (2017). Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series. Hernia, 21 (3). S. 443 - 448. NEW YORK: SPRINGER. ISSN 1248-9204

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Abstract

Femoral hernias are an often unexpected groin pathology during childhood. However, the pediatric surgeon has to be aware to diagnose femoral hernia and to repair this condition. This is the first report on laparoscopic percutaneous extraperitoneal closure of femoral hernia (LPEF) in children and adolescents. Over a 6-year period in a bi-institutional clinical study, we retrospectively identified six children and one young adult who underwent LPEF repair. Femoral hernia was laparoscopically confirmed in seven patients. Ages at surgery were 3, 5, 7, 7, 8, 8.5, and 18 years, respectively. In the first case, we combined laparoscopic diagnosis with open repair. In the consecutive six cases, hernias were repaired minimally invasively with the percutaneous extraperitoneal technique described below. During a follow-up between 6 years and 6 months, no recurrence was observed. For LPEF, we percutaneously placed a peritoneal U-shape suture with integrated transfixation of the hernia sac, closed with an epifascial knot. We performed LPEF using two graspers. The peritoneum was percutaneously punctured with a venous cannula through which the suture was inserted. One grasper was inserted through the working channel of the laparoscope to invert the hernia sac into the abdominal cavity. A mini-grasping forceps inserted through the cannula retrieved the thread and completed LPEF. We demonstrate that single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia is successful and quick in children and in adolescents.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Troebs, R-B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Yilmaz, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bahr, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cernaianu, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vahdad, R. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-229389
DOI:	10.1007/s10029-017-1573-3
Journal or Publication Title:	Hernia
Volume:	21
Number:	3
Page Range:	S. 443 - 448
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1248-9204
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INGUINAL-HERNIA; REPAIR; EXPERIENCE; PLUG; RARE Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22938