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Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study by Zhi-bin Luo; Jing-rong Tu; Hong-guang Shi; Zhi-yong Du; Xian-cai Xiang; Shui-qing Chi; De-hua Yang; Kang Li; Shuai Li; Shao-tao Tang is a scholarly article available to read on EtoBox.

What is Modification of the Classical Percutaneous Extraperitoneal Procedure for Pediatric Inguinal Hernia to Reduce Complications: A Multiple-Centered Comparison Study about?

## Abstract Single-site laparoscopic percutaneous extraperitoneal ligation (SLPEL) for pediatric inguinal hernia gained popularity all over the world. However, complications associated with extraperitoneal knotting were not rare in the classical SLPEL(C-SLPEL) procedure. In order to overcome disadvantages, we herein developed the modified SLPEL (M-SLPEL) procedure, intact circuit ligation of the peritoneum around the internal ring using a homemade hernia needle with a single abdominal wall centesis. To evaluated the effectiveness of the M-SLPEL procedure to decrease adverse events associated with ligation knotting, a comparative study was carried out. A total of 3219 patients from multiple centers were divided into two groups according to the operative procedures: M-SLPEL group and C-SLPEL group. All patients were followed up. Data describing the clinical characteristics, operative time, postoperative hospital stay, and complications was collected and retrospectively analyzed. With equivalent operative time, postoperative hospital stay, there was statistically significant difference between two groups in terms of the overall complications incidence (2.6% in C-SLPEL Vs 0.11% in M-SL

Author

Zhi-bin Luo; Jing-rong Tu; Hong-guang Shi; Zhi-yong Du; Xian-cai Xiang; Shui-qing Chi; De-hua Yang; Kang Li; Shuai Li; Shao-tao Tang

Publisher

Research Square Platform LLC

Published

2021

Language

EN