Two-Port Needle-Assisted Pediatric Laparoscopic Herniotomy Using Tuohy Needle: Clinical Experience and Outcomes
DOI:
https://doi.org/10.36283/ziun-pjmd14-3/036Keywords:
Touhy Needle, Needle-assisted Repair, Two Port Technique, Laproscopic Herniotomy, Operative Time, Analgesia , Hospital StayAbstract
Background: The objective of this study is to compare Tuohy Needle-assisted laparoscopic hernia repair with the open repair technique in terms of recovery time, the ability to evaluate and repair contralateral defects, postoperative complications, and overall clinical outcomes.
Methods: This study was conducted over six months from February 2024 to July 2024. Laparoscopic herniotomy was performed using a two-port technique with a 23-G Tuohy needle and 3/0 Prolene for extracorporeal closure. Total operative time was recorded from the initial port placement to skin closure. Analgesia requirements were also recorded using a visual analogue scale. The Length of hospital stay was recorded in days from the day of admission until the patient’s discharge.
Result: A total of 60 pediatric patients with an age range of 2 to 12 years and a mean age of 7.1 years were included, with a mean weight of 23.2 kg. It included 47 males (78.3%) and 13 females (21.7%). The majority of pediatric patients had left-sided hernia 35 (58.3%), followed by right-sided 17 (28.3%) and bilateral hernia 8 (13.3%). Only one patient (1.7%) out of 60 presented with a recurrent inguinal hernia. The mean total operative time for laparoscopic needle-assisted herniotomy was 15.8 minutes. The average postoperative analgesia requirement was 1.7 doses, and the mean length of hospital stay was one day.
Conclusion: The two-port laparoscopic needle-assisted herniotomy using a Tuohy needle is a safe, highly effective, and minimally invasive laparoscopic technique for inguinal hernia repair in the pediatric population.
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