OPEN HERNIOTOMY VERSUS LAPAROSCOPIC SURGERY IN INGUINAL HERNIA REPAIR IN CHILDREN
Abstract:
Open surgical repair of inguinal hernia, also called open herniotomy in scientific literature, is
one of the most common and most commonly used surgical procedures in infancy and childhood.
Classical methods still remain very well credited because of its ease, high rate of success and low
incidence of complications. Modern surgery provides as alternative procedures some of minimally
invasive or laparoscopic methods. In the last years, in several centres, laparoscopic procedures for
inguinal hernia repair in children are routinely performed, some advantages having been reported
compared to open herniotomy such as excellent intraoperative viewing, minimal incision, fewer
complications, improved postsurgical cosmetic appearance but almost equally or even fewer recurrence
as well as classical surgery. A comparative evaluation of the two methods becomes an objective
necessity, and in scientific literature there are some studies that try to do it. As a conclusion to
mentioned studies, the laparoscopic surgery seems to bring elements of superiority versus open
herniotomy, such as long term cosmetic aspects of suture, the absence of complications, patient high
level of satisfaction, lower number of recurrences
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