Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era

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• 作者：Ciro Esposito ; MD ; PhD^a ; ^{ciroespo@unina.it" class="auth_mail" title="E-mail the corresponding author} ; Maria Escolino ; MD^a ; Francesco Turrà ; MD^a ; Agnese Roberti ; MD^a ; Mariapina Cerulo ; MD^a ; Alessandra Farina ; MD^a ; Simona Caiazzo ; MD^b ; Giuseppe Cortese ; MD^b ; Giuseppe Servillo ; MD^b ; Alessandro Settimi ; MD^a
• 关键词：Inguinal hernia ; Hydrocele ; Children ; Laparoscopy ; Pediatric patients
• 刊名：Seminars in Pediatric Surgery
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：25
• 期：4
• 页码：232-240
• 全文大小：1073 K

文摘

The surgical repair of inguinal hernia and hydrocele is one of the most common operations performed in pediatric surgery practice. This article reviews current concepts in the management of inguinal hernia and hydrocele based on the recent literature and the authors׳ experience. We describe the principles of clinical assessment and anesthetic management of children undergoing repair of inguinal hernia, underlining the differences between an inguinal approach and minimally invasive surgery (MIS). Other points discussed include the current management of particular aspects of these pathologies such as bilateral hernias; contralateral patency of the peritoneal processus vaginalis; hernias in premature infants; direct, femoral, and other rare hernias; and the management of incarcerated or recurrent hernias. In addition, the authors discuss the role of laparoscopy in the surgical treatment of an inguinal hernia and hydrocele, emphasizing that the current use of MIS in pediatric patients has completely changed the management of pediatric inguinal hernias.