SINGLE PORT LAPAROSCOPIC CONGENITAL INGUINAL HERNIA REPAIR

Abstract

Aim and Objectives:The present study was undertaken to evaluate the effectiveness of single port laparoscopy incongenital inguinal hernia repair with respect to operative time, intra and postoperative complications, hospital stay and rate of recurrence. Materials And Methods: Total 30 patients of age between 2-15 years admitted with diagnosis of congenital inguinal hernia, unilateral or bilateral hernia, with reducible non obstructive, primary were included in the study. All cases were performed under general anaesthesia by using a modication of technique described by Ozgediz et al. Results: Among 30 patients, 25 (83.3%) were male and 5 (16.7%) were female. Maximum numbers of patients were in the age group of ≤5 years (56.7%) with mean age of patients was 6.39 ± 3.43 years. Most of the patients (17; 56.7%) had right inguinal hernia. Mean operative time required was 16.23±4.39 minutes. Only in one patient (3%) extra port placement needed to reduce the contents of hernia. Intra operatively, one patient (3.3%) had retro peritoneal hemorrhage and post operatively one patient (3.3%) had complained of nausea for some hrs. The mean hospital stay was 1.48±0.58 Day. There was no recurrence occur in any case. Conclusion: In the paediatric population, single port laparoscopic inguinal hernia repair can be performed safely. This enables extension of the advantages of reduced access surgery to patients with limited resources to be handled. It also incorporates the benet of being fast, shortened operating time and better cosmesis. The benet of limited instrumentation and the intracorporeal knotting avoidance makes this a feasible technique