PREPERITONEAL APPROACH FOR REPAIR OF INDIRECT INGUINAL HERNIA IN CHILDREN | ||
| The Egyptian Journal of Surgery | ||
| Volume 22, Issue 1, January 2003, Pages 89-91 PDF (118.09 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2003.374710 | ||
| Authors | ||
| K.M Mahran; E. Shelbaya* | ||
| Department of Surgery. El-Minia Faculty of Medicine-El-Minia University | ||
| Abstract | ||
| Background purpose: the authors have been using a preperitoneal approach for treatment of indirect inguinal hernia in children for the last 18 months. The aim of this paper is to report on this experience Methods: between December 2000 and may 2002 we used the preperitoneal approach through a transverse lower central abdominal crease incision for repair of 45 boys with indirect ingurnal hernias, 5 of them with clinically detectable bilateral hernia and 7 with incarcerated hernia, we explored the contralateral side in the same time. Results: Herniotomy, reduction of contents and dealing with it were found to be much easier than the inguinal approach. Complications were minimal. Exploration of the contralateral side was an added advantage. Conclusions: preperionteal approach appears to be a safe and easy technique for repair of inguinal hernia in children and for solving the dilemma of contralateral exploration. The authors recommend that it should be used more commonly. | ||
| Keywords | ||
| Inguinal hernia; preperitoneal approach | ||
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