ArticleBMC surgery2023
Analysis of the efficacy of laparoscopic high hernia sac ligation in adolescent indirect hernia.
Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- Optimal surgical approach to inguinal hernia repair in adolescents and young adults: is herniotomy alone adequate? a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Mesh-free laparoscopic inguinal sac resection in adolescents: multicenter outcomes of a sac-resection approach for indirect inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Comparison of mesh and non-mesh repair in adolescent inguinal hernia surgery using the Korean National Health Insurance Service database: a nationwide retrospective cohort study.Annals of surgical treatment and research · 2026Article
- Modified Mitchell-Banks technique in pediatric inguinal hernia repair: a personalized surgical approach.Frontiers in pediatrics · 2026Article
- Postoperative pain after laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: a single-center retrospective study.BMC pediatrics · 2025Article
- Diverse surgical techniques for laparoscopic transumbilical intraperitoneal suturing of the internal ring in male pediatric patients.Scientific reports · 2025Article
- Effect of ligamentum teres uteri preservation in laparoscopic high hernia sac ligation in children with indirect inguinal hernia.World journal of gastrointestinal surgery · 2025Article
- No Reason to Use Mesh in Groin Hernia Repair in Adolescents.Journal of abdominal wall surgery : JAWS · 2023Review
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInguinal hernias are a common disease that may present at all ages. Adolescents are a unique patient population between children and adults. The etiology and the surgical treatment strategies of adolescent indirect hernias are not clear. Specifically, whether these kinds of hernias should be treated by high ligation or mesh repair remains controversial. We aimed to evaluate the efficacy of laparoscopic high hernia sac ligation in adolescent indirect hernia.
methodsThe data of adolescent patients who underwent laparoscopic high hernia sac ligation at the The First People's Hospital of Foshan,China, from January 2012 to December 2019 were analyzed retrospectively. Data collected included their age, gender, weight, surgical method, hernia ring diameter, operation time, postoperative recurrence rate and postoperative complications.
resultsA total of 70 patients were enrolled, including 61 males (87.14%) and 9 females (12.86%),all patients were aged 13-18 years old (mean 14.87 ± 1.56years), weighed 28-92 kg (mean 53.04 ± 10.60 kg). All 70 patients underwent laparoscopic surgery except 2 patients with irreducible hernias who converted to laparotomy.The hernia ring diameter ranged from 0.5 to 3 cm (mean 1.39 ± 0.49 cm), and was ≤ 2 cm in 68 cases (97.14%).The operative length ranged from 12 to 105 min (average 24.96 ± 12.61 min), There were 37(52.9%) right-sided hernias, 32 (45.7%) left-sided hernias, 1 (1.4%) bilateral hernia.There were 67(95.7%)reducible hernias,2(2.9%)irreducible hernias ,and 1(1.4%)incarcerated hernia.Hospital stays ranged from 1 to 5 days (mean 2.37 ± 1.05 days). Follow-ups were performed from 30-119months (mean 74.27 ± 28.14months). There were no cases of recurrence, howere, incision infection occured in 1 patient, who underwent a second operation 6 months after surgery, and 4 (5.7%) patients had complaints of intermittent pain around the ligation incision site, mostly during exercise .
conclusionLaparoscopic high hernia sac ligation is feasible for treatment of adolescent indirect hernias with a hernia ring diameter of ≤ 2 cm.
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