Scrotal/testicular status after repair of recent severe incarcerated inguinal hernia in male infants younger than 12 months old: Laparoscopic percutaneous extraperitoneal closure versus conventional open repair.

Authors:
Go Miyano
Go Miyano
Juntendo University School of Medicine
Japan
Hiroki Nakamura
Hiroki Nakamura
Institute for Molecular Science
Japan
Soichi Shibuya
Soichi Shibuya
Juntendo University School of Medicine
Bunkyo | Japan
Takanori Ochi
Takanori Ochi
Kinki University
Japan
Yuta Yazaki
Yuta Yazaki
Juntendo University Urayasu Hospital
Hiroshi Murakami
Hiroshi Murakami
Juntendo University School of Medicine
Bunkyō | Japan
Shogo Seo
Shogo Seo
Juntendo University School of Medicine
Manabu Okawada
Manabu Okawada
Juntendo University School of Medicine
Japan

Asian J Endosc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Introduction: We prospectively reviewed 41 male infants younger than 12 months old who had presented with severe incarcerated inguinal hernia between 2014 and 2016 and had been treated by laparoscopic percutaneous extraperitoneal closure (LPEC) or conventional open repair (CO).

Methods: Operative times and intraoperative findings were evaluated. Scrotal/testicular status were assessed preoperatively, 1 week, and 4 weeks after surgery.

Results: There were 21 boys treated by LPEC and 20 by CO. Mean ages and mean weights at surgery were similar between the groups. The mean operative time was 19.7 min for LPEC and 45.8 min for CO (P < 0.05). The peritoneum was edematous in 13 LPEC cases (61.9%). Wound infection was observed in one CO case and in one LPEC case at the umbilicus. Postoperative scrotal/testicular swelling was observed in four cases at 1 week and two cases at 4 weeks among the CO cases and in one case at 1 week and no cases at 4 weeks among the LPEC cases (P = not significant). Postoperative testicular elevation was observed on the operated side in two CO cases and in no LPEC cases at 1 and 4 weeks (P = not significant). There has been no recurrence or testicular atrophy in either group.

Conclusion: Performing LPEC took significantly less time than performing CO. Although no statistically significant differences in scrotal/testicular status were identified, a larger study is warranted to prove that LPEC is associated with less surgical stress than CO.

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http://doi.wiley.com/10.1111/ases.12680
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http://dx.doi.org/10.1111/ases.12680DOI Listing
December 2018
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References

(Supplied by CrossRef)
Morbidity after neonatal inguinal herniotomy
Phelps et al.
J Pediatr Surg 1997
Laparoscopic treatment of inguinal hernia in the first year of life
Esposite et al.
J Laparoendosc Adv Surg Tech A 2010
Iatrogenic ascent of the testes
Misra et al.
Br J Urol 1995
Laparoscopic hernia repair versus open herniotomy in children: A controlled randomized study
Shalaby et al.
Minim Invasive Surg 2012

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