Lee SR - In this study, the surgical outcomes of a laparoscopic approach for incarcerated inguinal hernia (IIH) had been reported. Researchers identified intestines and ovaries as the most commonly herniated organs in male and female pediatric patients, respectively. Intracorporeal organ reduction was easily performed with a laparoscopic instrument.

Methods

• From September 2012 to December 2016, laparoscopic herniorrhaphy was performed in 4782 pediatric patients at Damsoyu Hospital, Seoul, Korea.
• Among them, researchers retrospectively analyzed the surgical outcomes of 164 IIH patients.

Results

• In the study population, 51 ovaries, 103 intestines, and 10 omentums were identified as the incarcerated organs.
• In females and males, the ovary (51/66) and intestine (88/98) seemed the most common incarcerated organs, respectively.
• In most cases, the intestines, ovaries, and omentums were preserved.
• One female patient with an unrecovered ischemic ovary underwent an oophorectomy; an orchiectomy was performed in a male patient with ischemic testis because of cord vessel compression caused by intestine incarceration.
• In male pediatric patients, risk factors for IIH included an age of <12 months and symptom duration of >1 week, whereas in female pediatric patients, an age of <12 months and symptom duration of ≤1 week were risk factors for IIH.