Laparoscopic treatment of inguinal hernia in boys [Abstract in English]
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236 |
Resumo: | Aims: To analyze the results of treatment of inguinal hernias through videolaparoscopy in boys over six months of age. Methods: All male patients over six months of age that arrived to the Surgical Outpatient Clinic of Hospital Materno Infantil Presidente Vargas, or to the author’s private clinic, between July 1999 and November 2001, with diagnosis of inguinal hernia, were included in this prospective non randomized study. The same videaolaparoscopic surgical technique was used in all patients. Results: A total of 51 patients were studied, and 68 inguinal herniorraphies were made through videolaparoscopy. The patients’ mean age was 40 months, ranging from 6 months to 10 years and 8 months. From 49 patients who had clinical evidence of unilateral hernia, laparoscopic examination showed that 32 (65.3%) had only unilateral hernia, with a normal contralateral side. The finding of a thickened spermatic cord as indicator of hernia or patent processus vaginalis on the contralateral side had a sensitivity of 52.9% and a specificity of 53.1%. One case of moderate hemorrhage of spermatic vessels was the only intraoperative complication (2%). No conversion to open surgery was necessary. Two patients had recurrence of the hernia (4%). Conclusions: The videaolaparoscopic surgical technique has been effective, safe, and presented low incidence of complications in the surgical treatment of inguinal hernia in boys. We believe that videolaparoscopic treatment of inguinal hernias in boys is an alternative valid method to traditional surgery. KEYWORDS: HERNIA, INGUINAL/SURGERY; LAPAROSCOPY; INFANT; HUMAN; MALE; CHILD. |
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Laparoscopic treatment of inguinal hernia in boys [Abstract in English]Tratamento videolaparoscópico da hérnia inguinal em meninosHÉRNIA INGUINAL/CIRURGIALAPAROSCOPIALACTENTEHUMANOSMASCULINOCRIANÇA.Aims: To analyze the results of treatment of inguinal hernias through videolaparoscopy in boys over six months of age. Methods: All male patients over six months of age that arrived to the Surgical Outpatient Clinic of Hospital Materno Infantil Presidente Vargas, or to the author’s private clinic, between July 1999 and November 2001, with diagnosis of inguinal hernia, were included in this prospective non randomized study. The same videaolaparoscopic surgical technique was used in all patients. Results: A total of 51 patients were studied, and 68 inguinal herniorraphies were made through videolaparoscopy. The patients’ mean age was 40 months, ranging from 6 months to 10 years and 8 months. From 49 patients who had clinical evidence of unilateral hernia, laparoscopic examination showed that 32 (65.3%) had only unilateral hernia, with a normal contralateral side. The finding of a thickened spermatic cord as indicator of hernia or patent processus vaginalis on the contralateral side had a sensitivity of 52.9% and a specificity of 53.1%. One case of moderate hemorrhage of spermatic vessels was the only intraoperative complication (2%). No conversion to open surgery was necessary. Two patients had recurrence of the hernia (4%). Conclusions: The videaolaparoscopic surgical technique has been effective, safe, and presented low incidence of complications in the surgical treatment of inguinal hernia in boys. We believe that videolaparoscopic treatment of inguinal hernias in boys is an alternative valid method to traditional surgery. KEYWORDS: HERNIA, INGUINAL/SURGERY; LAPAROSCOPY; INFANT; HUMAN; MALE; CHILD.Objetivos: analisar os resultados do tratamento das hérnias inguinais por videolaparoscopia em meninos acima de 6 meses de idade. Métodos: foram incluídos em um estudo prospectivo todos os pacientes masculinos acima de seis meses de idade que chegaram ao ambulatório de Cirurgia Pediátrica do Hospital Materno Infantil Presidente Vargas e/ou da clínica privada dos autores, com diagnóstico de hérnia inguinal não recidivada, de julho de 1999 até novembro de 2001. Empregou-se a mesma técnica cirúrgica videolaparoscópica em todos os pacientes. Resultados: foram estudados 51 pacientes, tendo sido efetuadas 68 herniorrafias inguinais por videolaparoscopia. A idade média dos pacientes foi de 40 meses, variando de 6 meses a 10 anos e 8 meses. Nos 49 pacientes que apresentavam evidência clínica de hérnia unilateral, o exame laparoscópico mostrou que 32 (65,3%) tinham apenas a hérnia unilateral, com exploração do lado contralateral normal. O achado de espessamento do cordão inguinal como critério para diagnosticar hérnia ou persistência do conduto peritônio-vaginal contralateral apresentou sensibilidade de 52,9% e especificidade de 53,1%. Um caso de moderado sangramento dos vasos espermáticos foi a única complicação transoperatória (2%). Em nenhuma cirurgia foi necessária a conversão para a técnica aberta. Não houve atrofia dos testículos nem criptorquia iatrogênica. Dois pacientes apresentaram recidiva da hérnia (4%). Conclusões: a técnica videolaparoscópica mostrou-se efetiva, segura e com baixa incidência de complicações no tratamento cirúrgico da hérnia inguinal em meninos. Acredita-se que o tratamento videolaparoscópico das hérnias inguinais em meninos seja um método alternativo válido em relação à cirurgia tradicional. DESCRITORES: HÉRNIA INGUINAL/CIRURGIA; LAPAROSCOPIA; LACTENTE; HUMANOS; MASCULINO; CRIANÇA.Editora da PUCRS - ediPUCRS2008-04-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionmedicinaapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236Scientia Medica; Vol. 18 No. 1 (2008); 20-25Scientia Medica; v. 18 n. 1 (2008); 20-251980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236/2808https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236/7849Faria, Adyr Eduardo VirmondTrindade, Manoel Roberto MacielMotta, Ubirajara Índio Carvalho dainfo:eu-repo/semantics/openAccess2013-07-17T13:23:01Zoai:ojs.revistaseletronicas.pucrs.br:article/2236Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-17T13:23:01Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] Tratamento videolaparoscópico da hérnia inguinal em meninos |
title |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] |
spellingShingle |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] Faria, Adyr Eduardo Virmond HÉRNIA INGUINAL/CIRURGIA LAPAROSCOPIA LACTENTE HUMANOS MASCULINO CRIANÇA. |
title_short |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] |
title_full |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] |
title_fullStr |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] |
title_full_unstemmed |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] |
title_sort |
Laparoscopic treatment of inguinal hernia in boys [Abstract in English] |
author |
Faria, Adyr Eduardo Virmond |
author_facet |
Faria, Adyr Eduardo Virmond Trindade, Manoel Roberto Maciel Motta, Ubirajara Índio Carvalho da |
author_role |
author |
author2 |
Trindade, Manoel Roberto Maciel Motta, Ubirajara Índio Carvalho da |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Faria, Adyr Eduardo Virmond Trindade, Manoel Roberto Maciel Motta, Ubirajara Índio Carvalho da |
dc.subject.por.fl_str_mv |
HÉRNIA INGUINAL/CIRURGIA LAPAROSCOPIA LACTENTE HUMANOS MASCULINO CRIANÇA. |
topic |
HÉRNIA INGUINAL/CIRURGIA LAPAROSCOPIA LACTENTE HUMANOS MASCULINO CRIANÇA. |
description |
Aims: To analyze the results of treatment of inguinal hernias through videolaparoscopy in boys over six months of age. Methods: All male patients over six months of age that arrived to the Surgical Outpatient Clinic of Hospital Materno Infantil Presidente Vargas, or to the author’s private clinic, between July 1999 and November 2001, with diagnosis of inguinal hernia, were included in this prospective non randomized study. The same videaolaparoscopic surgical technique was used in all patients. Results: A total of 51 patients were studied, and 68 inguinal herniorraphies were made through videolaparoscopy. The patients’ mean age was 40 months, ranging from 6 months to 10 years and 8 months. From 49 patients who had clinical evidence of unilateral hernia, laparoscopic examination showed that 32 (65.3%) had only unilateral hernia, with a normal contralateral side. The finding of a thickened spermatic cord as indicator of hernia or patent processus vaginalis on the contralateral side had a sensitivity of 52.9% and a specificity of 53.1%. One case of moderate hemorrhage of spermatic vessels was the only intraoperative complication (2%). No conversion to open surgery was necessary. Two patients had recurrence of the hernia (4%). Conclusions: The videaolaparoscopic surgical technique has been effective, safe, and presented low incidence of complications in the surgical treatment of inguinal hernia in boys. We believe that videolaparoscopic treatment of inguinal hernias in boys is an alternative valid method to traditional surgery. KEYWORDS: HERNIA, INGUINAL/SURGERY; LAPAROSCOPY; INFANT; HUMAN; MALE; CHILD. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-04-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion medicina |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236/2808 https://revistaseletronicas.pucrs.br/scientiamedica/article/view/2236/7849 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 18 No. 1 (2008); 20-25 Scientia Medica; v. 18 n. 1 (2008); 20-25 1980-6108 1806-5562 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101748852228096 |