PURPOSE: Several single-port laparoscopic hernial repair methods have been designed to treat @entity169 in @entity1 , but reliable and safe ligation of the hernial sac should be further investigated. This study aimed to investigate a new technique for laparoscopic percutaneous double ligation for pediatric @entity169 with a set of home-made instruments. METHODS: Before each operation, a set of home-made instruments were prepared, including a curved puncture needle, a lasso suture, a dual ligation suture, and occasionally, a flat-headed puncture needle for @entity28 @entity1 . After a series of operational steps, the hernial sac was doubly extracorporeally ligated, leaving only one puncture point in the inguinal region and one incision in the navel. RESULTS: Between October 2011 and September 2013, 236 @entity1 (211 @entity1 and 25 @entity1 ) underwent hernial repair using this novel technique. In 38.8  % (85/219) of @entity1 with the preoperative diagnosis of @entity169 , contralateral patent processus vaginalis was confirmed during the laparoscopic surgery and subsequent repair was performed. In 134 cases of unilateral repair, the mean operative time was 11  min (range 5-16  min), and it was 19  min (range 13-29  min) in 102 cases of bilateral repair. No recurrence or complications have been observed to date. CONCLUSIONS: This study shows a unique technique of percutaneous double ligation of the hernial sac using a minimally invasive technique with the aid of a transabdominal 5-mm telescope and a set of home-made instruments. Single-port laparoscopic hernial repair using this technique is feasible and appears to be safe.

Single-port laparoscopic percutaneous double ligation for pediatric XXXX : report of a new technique and early results.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'boys', 'girls'] @entity169 :: ('MESH:D006552', 'Disease') :: ['unilateral inguinal hernia', 'inguinal hernias', 'inguinal hernia'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese']
@entity169 :: (MESH:D006552,Disease) :: ['inguinal hernias']
