need an inguinal herniotomy. How? In most situations the surgery is performed as an elective day-‐only operation. Sometimes emergency surgery is required if. Inguinal hernia is the most common surgical problem of childhood. It results from a small sac that comes through the inguinal ring that is normally open during. Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev, Denmark. Received 4 January ;.

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Hernia repair in children with opening the external oblique aponeurosis, twisting the hernia sac and doubly ligating it has no any positive effect on the quality of the repair or reduction of complications.

Morbidity and mortality of inguinal hernia in the newborn. Herniotomies are one of the most common types of abdominal proceedure. Colonoscopy Anoscopy Capsule prodedure Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy. Retrieved from ” https: The technique does not leave the preperitoneal or the inguinal canal untouched, so concern has been raised of how to manage recurrences.

Basically, there are two ways to close a hernia: The nature of lesions and the repairs done in the four 4 groups are presented in Table 2.


Congenital, hydrocele, inguinal hernia, repair, variation. Predictors of recurrence after inguinal herniotomy in boys. Hernia repair refers to a surgical operation for the correction of a hernia —a bulging of internal organs or tissues through the wall that contains it.

Open inguinal herniotomy: Analysis of variations

A selective sac extraction method: Views Read Edit View history. A survey of North American pediatric surgeons. Articles from African Journal of Paediatric Surgery: Hernias in the abdominal wall are usually diagnosed by palpating the area. If the finger is not long enough, then a blunt instrument can be used in the pocket instead of your finger. Subscribe to Table of Contents Alerts.

Hernia repair

National Center for Biotechnology InformationProcedyre. The Onflex mesh is cut and the tails are placed around the spermatic cord. The external aponeurosis is incised to expose the underlying internal aponeurosis.

Another important problem with the perforation is not to make it too big. Moist sterile gauze is placed in the preperitoneal space.

The Onstep Method for Inguinal Hernia Repair: Operative Technique and Technical Tips

A Comprehensive Text for Africa. Laparoscopy is generally less stressful on the patient, causes less postoperative pain and requires less recuperation.

Furthermore, we have found a few tips and tricks that facilitate the procedure. The incision in the external oblique aponeurosis should be transversal and not follow the fibers.


Inguinal hernias affect millions of people each year [ 12 ]. Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann’s operation.

We retrospectively reviewed the office medical records of children who were at least two years old and who underwent a herniotomy procedure for inguinal hernia between and The cord is elevated up and out of the incision site Figure 5. Support Center Support Center.

What preparations are carried out before the procedure? This is an open access article distributed under proceudre Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Operations on hernias in the abdominal wall are routine procedures. However, with short fingers like ours, it may not be possible in the average patient to reach all the way down to the bottom of the mesh placement with the index finger. In rare cases, where, for example, radiation therapy hsrniotomy been used in this area for prostatic cancer, there may be extensive fibrosis, so that dissection in the preperitoneal space will be difficult.

Scissors mayo and metzenbaum.