الفهرس | Only 14 pages are availabe for public view |
Abstract Summary and conclusion Inguinal hernia repair remains the most common operation performed by pediatric surgeons. It occurs in 0.8% to 4.4 % of all children with higher incidence (up to 30%) in premature babies. Conventional Open hernia repair is the gold standard for treatment of PIH. However, it has the potential risk of injury of the spermatic cord, vas deferens, hematoma, wound infection, iatrogenic cryptorchidism, testicular atrophy, and recurrence of hernia. With feasibility and safety of laparoscopy many centers routinely perform laparoscopic hernia repair in children and there have been numerous reports describing various laparoscopic techniques rather than the traditional open approach, because of its advantages over conventional procedure including magnification, less manipulation to vas and vessels. Many techniques were introduced over the last 2 decades for laparoscopic treatment of inguinal hernia including intracorporeal and extracorporeal approaches, disconnecting the sac or not and closure of the peritoneum with different techniques. Recently it was claimed that disconnection only of the sac was enough laparoscopic treatment of PIH. During the period from March 2016 to March 2017 at the pediatric surgery unit, Tanta University Hospital, 34 patients with 40 PIH with the age ranging from one month to 2 years were categorized into 2 groups A and B. The categorization was randomly done using a closed envelop method. group A: contains infants and children who |