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Minimally Invasive Surgery
Volume 2012 (2012), Article ID 484135, 8 pages
http://dx.doi.org/10.1155/2012/484135
Clinical Study

Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study

1Pediatric Surgery Unit, Al-Azhar University Hospitals, Cairo, Egypt
2Pediatric Surgery Unit, Al-Azhar University Hospitals, Damietta, Egypt
3Diagnostic Imaging Department, Al-Azhar University Hospitals, Cairo, Egypt

Received 30 August 2012; Revised 13 November 2012; Accepted 30 November 2012

Academic Editor: Othmar Schöb

Copyright © 2012 Rafik Shalaby et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results. Patients and Methods. Two hundred and fifty patients with inguinal hernia were randomized into two equal groups. Group A was subjected to laparoscopic inguinal hernia repair. Group B was subjected to open herniotomy. The demographic data were matched between both groups. Assessment of the testicular volume and duplex assessment in preoperative, early, and late postoperative periods were done. Results. All cases were completed successfully without conversion. The mean operative time for group A was minutes, minutes and minutes, for unilateral hernia, unilateral hernia in obese child, and bilateral hernia, respectively. The recurrence rate was 0.8% in group A, whereas in group B the recurrence rate was 2.4%. Conclusion. Laparoscopic hernia repair by RN is an effective line of hernia repair. It resulted in marked reduction of operative time, low rate of recurrence, no testicular atrophy, no iatrogenic ascent of the testis, and excellent cosmetic results.