Pregledni rad
https://doi.org/10.26800/LV-145-supl1-21
A minimally invasive approach to the treatment of inguinal hernia in children: Percutaneous Internal Ring Suturing (PIRS)
Zenon Pogorelić
orcid.org/0000-0002-1517-720X
; Klinika za dječju kirurgiju, Klinički bolnički centar Split, Split, Katedra za Kirurgiju, Medicinski fakultet Sveučilišta u Splitu, Split
Sažetak
Inguinal hernia surgery is one of the most frequently performed procedures in pediatric surgery. Classical surgical procedures have been the gold standard in the treatment of inguinal hernias in children for many years. In recent years, with the development of minimally invasive surgery and instruments adapted to children and the training of pediatric surgeons, this type of treatment has become increasingly popular in European and worldwide centers. The advantages of minimally invasive surgery are well known: less pain intensity, faster recovery, less consumption of analgesics, shorter hospital stay, faster return to daily activities, and a much better cosmetic result. The method of percutaneous closure of the internal inguinal canal (PIRS) was first described by the Polish pediatric surgeon Dariusz Patkowski and has since become very popular among pediatric surgeons due to its simplicity and relatively quick learning curve. The method consists of percutaneous closure of the internal ring of the inguinal canal under laparoscope control and includes two small incisions of 2-3 mm each. The advantages of this method over classic surgical procedures include the simultaneous repair of bilateral hernias (without the need for additional incisions and other surgical procedures), better visualization of the peritoneal cavity, less possibility of injury to the spermatic cord, and the possibility of detecting other abdominal abnormalities. In the hands of an experienced operator, the average duration of surgery for unilateral hernia is 10 minutes, while for bilateral hernias it is about 15 minutes. In conclusion, we can say that PIRS is a simple, safe and effective surgical technique for the treatment of inguinal hernia in children with excellent treatment and aesthetic results and a low frequency of complications and recurrence.
Ključne riječi
INGUINAL HERNIA; CHILDREN; LAPAROSCOPY; MINIMALY INVASIVE SURGERY; PIRS
Hrčak ID:
300815
URI
Datum izdavanja:
17.4.2023.
Posjeta: 416 *