In this study, preoperative physical examination findings, peroperative findings and data, and postoperative follow-up results of newborns who underwent inguinal hernia repair with PIRS ("Percutaneous Internal Ring Suturing") method will be evaluated retrospectively.
Congenital inguinal hernia is one of the most common surgical pathologies of childhood. Its treatment includes high ligation of the patent processus vaginalis by open or laparoscopic method. There are many described minimally invasive/laparoscopic repair techniques of inguinal hernias in children. One of them is "percutaneous internal ring suturing" or "Percutaneous Inner Ring Suturing". There are many studies on the PIRS method in children. Two of these studies are prospective clinical studies published previously by the investigators of this study: in the first, the PIRS method was shown to be a safe and effective method for minimally invasive repair of inguinal hernia in children, and in the second, the use of subparalytic laryngeal masks in anesthesia of patients who underwent PIRS was shown to be sufficient for airway protection and anesthesia management in children undergoing laparoscopy. Although there are many studies on the repair of inguinal hernia in children with PIRS or other minimally invasive methods in the last decade, there are very limited studies on the use of these methods in newborns, a special group of childhood patients. In the literature, there is no study examining only newborn patients. In this context, the study will be a first in the literature.
Study Type
OBSERVATIONAL
Enrollment
34
Laparoscopic procedure for repair of inguinal hernia as described in: 1\) Thomas DT, Göcmen KB, Tulgar S, Boga I. Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: Experience with 250 cases. J Pediatr Surg. 2016 Aug;51(8):1330-5. doi: 10.1016/j.jpedsurg.2015.11.024. Epub 2015 Dec 11. PMID: 26777889.
Maltepe University Hospital
Istanbul, Turkey (Türkiye)
Surgery Time
Time from skin prep to end of dressing
Time frame: Measured as time from skin prep until dressing is performed (approx. 20-30minutes)
Anesthesia Time
Time from induction to awakening
Time frame: Measured in minutes from induction to awakening (approx. 30-40minutes)
Presence of Contralateral Patent Processus Vaginalis
Whether a patent processus vaginalis was observed and repaired on laparoscopy
Time frame: Measured during surgery (approx. 5-10minutes)
Dose of Muscle Relaxant
None, Subparalytic or Paralytic
Time frame: Measured throughout surgery (20-30minutes)
Type of Airway Management Used
ETT (Endotracheal Tube) or LMA (Laryngeal Mask Airway)
Time frame: Measured throughout surgery (20-30minutes)
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