ArticleHernia : the journal of hernias and abdominal wall surgery2017
Single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia in children and adolescents: case series.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 10 citations in OpenAlex.
- Clinical features and misdiagnosis analysis of pediatric inguinal direct hernia: a single-center retrospective study of 23 cases.Frontiers in pediatrics · 2026Article
- Femoral Hernia in Children as a Rare Pathology: A Retrospective Case Series.African journal of paediatric surgery : AJPS · 2023Article
- Femoral hernia in children: How to avoid misdiagnosis?African journal of paediatric surgery : AJPSReview
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5 authors at 3 institutions in 1 country.
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Abstract
backgroundFemoral 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.
methodsOver a 6-year period in a bi-institutional clinical study, we retrospectively identified six children and one young adult who underwent LPEF repair.
resultsFemoral 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. SURGICAL TECHNIQUE: 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.
conclusionWe demonstrate that single-port laparoscopic percutaneous extraperitoneal closure of femoral hernia is successful and quick in children and in adolescents.
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