Management of Congenital Inguinal Hernia: Open versus laparoscopic
Abstract: Background: Congenital inguinal hernia is one of the
most common surgical diseases in children. It is estimated that
over 20 million hernia repairs are performed each year worldwide.
Herniotomy/open surgery has been the time honored treatment for
congenital inguinal hernia. Laparoscopic surgery has recently
emerged as an alternative in its management. However,
controversy is present on its feasibility and wider adoption.
The aim of the study: Comparison between open and laparoscopic
surgery (disconnection of the hernia sac with intracorporeal suture
of proximal part) in management of congenital inguinal hernia.
Patients and methods: Prospective randomized comparative study
was conducted on 60 children with congenital inguinal hernia, in
General Surgery department in Qena University Hospital. They
were randomized into 2 groups: Group A (30 child underwent
conventional Open herniotomy), Group B ( 30 child underwent
laparoscopic congenital inguinal hernia repair by dissection and
division with intracorporeal suture repair ).
Results: All cases were completed successfully. There were
statistically significant differences between studied groups
regarding operative time. There were significant statistical
differences in the recurrence rate between the studied groups.
Conclusion: Laparoscopic inguinal hernia repair using
disconnection of the hernia sac at IIR with closure of peritoneum
mimic what happen with conventional open herniotomy is safe
and feasible technique.