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Zarroug AE, Alkhebel AM, Gibreel WO, et al. A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision. J Indian Assoc Pediatr Surg. 2015;20(4):170-3doi: 10.4103/0971-9261.154649.
Zarroug, A. E., Alkhebel, A. M., Gibreel, W. O., & Almassry, M. (2015). A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision. Journal of Indian Association of Pediatric Surgeons, 20(4), 170-3. https://doi.org/10.4103/0971-9261.154649
Zarroug, Abdalla E, et al. "A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision." Journal of Indian Association of Pediatric Surgeons vol. 20,4 (2015): 170-3. doi: https://doi.org/10.4103/0971-9261.154649
Zarroug AE, Alkhebel AM, Gibreel WO, Almassry M. A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision. J Indian Assoc Pediatr Surg. 2015 Oct-Dec;20(4):170-3. doi: 10.4103/0971-9261.154649. PMID: 26628807; PMCID: PMC4586978.
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J Indian Assoc Pediatr Surg. 2015 Oct-Dec;20(4):170-3. doi: 10.4103/0971-9261.154649.

A new, simple operative approach for bilateral inguinal hernia repair in girls: A single transverse supra-pubic incision.

Journal of Indian Association of Pediatric Surgeons

Abdalla E Zarroug, Antar M Alkhebel, Waleed O Gibreel, Mohammed Almassry

Affiliations

  1. Divisions of Pediatric Surgery, Mayo Clinic, Rochester, Minnesota, United States.
  2. European Gaza Hospital, Palestinian Territories, Gaza, Palestine.
  3. General Surgery, Mayo Clinic, Rochester, Minnesota, United States.

PMID: 26628807 PMCID: PMC4586978 DOI: 10.4103/0971-9261.154649

Abstract

BACKGROUND: Inguinal hernia repair remains one of the most common operations performed by pediatric surgeons. We described a new surgical approach for treating bilateral inguinal hernias in girls through a small single transverse supra-pubic incision.

MATERIALS AND METHODS: A new approach was performed on female children 12-years-old and younger with bilateral inguinal hernias between January 2005 and April 2012.

TECHNIQUE: A single transverse suprapubic incision (1-1.5 cm) was made. Using sharp and blunt dissection bilateral hernias were exposed and repaired using a standard high ligation.

RESULTS: Ninety-nine girls with a preoperative clinical diagnosis of bilateral inguinal hernia were included. Median age was 2 years (range: 1 month to 12 years). All patients underwent general anesthesia. Median operative time was 12 minutes (range 5-22). There were no intra-operative complications or misdiagnosis. Two patients had bilateral sliding hernias and the remainder had indirect hernias. Post-operatively two patients developed non-expanding small hematomas, both treated non-operatively without sequelae. There were zero hernia recurrence and median follow-up was 5 years (range: 1-8 years) on 99% of patients.

CONCLUSION: We described a new, safe, simple, and rapid approach for bilateral inguinal hernia repair in female pediatric population. A single transverse suprapubic skin incision was adequate for exposing both inguinal regions with excellent postoperative results.

Keywords: Bilateral; bilateral inguinal hernia; females; herniotomy; inguinal hernia; supra-pubic incision

References

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