Abstract：
BACKGROUND:Pediatric inguinal hernia repair is the most common operation performed by surgeons. During open operation, rupture and retraction of the hernia sac may occur. Also, dislodgement of suture ligature or clamps may allow sac retraction into the abdominal cavity. In these situations, relegation of the retracting sac is not feasible, and further dissection and exploration may cause injury to the vas deferens and vessels. AIM:The purpose of this study was to compare inguinal hernia open surgery results in children with and without high ligation of the hernia sac with consideration of conditions and necessity. METHOD:Of 330 hernias in 287 patients from March 2006 to March 2009 who had undergone open hernia repair, 100 patients (121 hernias) returned for regular follow-up. Of these patients, 13 were female, 87 were male, and ligation of the hernia sac was performed on 76% of cases (91 hernias). 24% of cases (30 hernias) were repaired without high ligation. Surgical method selection (ligation or no ligation) was due to the feasibility of sac ligation without consideration of ring size. Data were analyzed by SPSS software and Mann-Whitney U, Fisher's exact, and Chi-square statistical tests. RESULTS:In 1-3 years of follow-up, no recurrences or complications that required intervention were found in any groups. CONCLUSION:In the absence of recurrence and complications that require intervention, although there is no general consensus on no ligation in open repair, we propose to avoid high ligation of the inguinal sac in open surgery when it is not feasible.
journal_name
J Pediatr Surgjournal_title
Journal of pediatric surgeryauthors
Tabrizian F,Raisolsadat SM,Houshmand B,Yaghubi MAdoi
10.1016/j.jpedsurg.2012.08.003subject
Has Abstractpub_date
2013-03-01 00:00:00pages
547-9issue
3eissn
0022-3468issn
1531-5037pii
S0022-3468(12)00634-3journal_volume
48pub_type
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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doi：10.1016/j.jpedsurg.2017.12.025
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journal_title：Journal of pediatric surgery
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doi：10.1016/j.jpedsurg.2006.08.041
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
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journal_title：Journal of pediatric surgery
pub_type： 杂志文章,评审
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journal_title：Journal of pediatric surgery
pub_type： 杂志文章,评审
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更新日期：2008-12-01 00:00:00
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journal_title：Journal of pediatric surgery
pub_type： 杂志文章
doi：10.1053/jpsu.2001.27937
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