Recurrent inguinal hernia in a preschool girl treated laparoscopically with a preperitoneal transabdominal technique and polypropylene mesh: an alternative in complex cases.
We report the case of a 4-year-old girl treated by a laparoscopic transabdominal preperitoneal (TAPP) technique with polypropylene mesh in whom a primary contralateral hernia was found and repaired, closing the orifice with a suture. This 4-year-old female had a medical history of clubfoot treated by surgery during her first year of age, ureteral reimplantation because of stenosis, and laparoscopic cholecystectomy because of hydrocholecystis. She had recurrence 1 year after a conventional inguinal herniorraphy and was treated by the TAPP technique with polypropylene mesh. A primary contralateral hernia was found and repaired, and the orifice was closed with a suture. The child's acceptance of the procedure was good, and the postoperative evolution was uneventful, requiring minimal analgesia in the first 24 h. She was discharged the following day. Two years later, there have been no recurrences, and the girl is developing and carrying out activities in a normal way. The open technique remains the gold standard for hernioplasty in children, but laparoscopy may be an option, and it is possible that in some special cases, the use of mesh to reinforce the inguinal wall using the TAPP technique, although it is controversial, may be justified.
Weber-Sanchez
A
A
Department of Surgery, Hospital Angeles Lomas, Vialidad de la Barranca s/n cons. 410, Col. Valle de las Palmas, Huixquilucan, Mexico CP 52763, Mexico. awebersanchez@gmail.com
Weber-Alvarez
P
P
Garteiz-Martinez
D
D
D002675:Child, Preschool; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D011126:Polypropylenes; D012008:Recurrence; D013526:Surgical Mesh
D011126:Polypropylenes
Am J Surg. 2001 Dec;182(6):693-6
11839340
J Pediatr Surg. 2005 Nov;40(11):1701-5
16291155
Surg Endosc. 1998 Jul;12(7):979-86
9632874
World J Surg. 2005 Aug;29(8):1046-51
15983714
Surg Endosc. 2005 Dec;19(12):1556-60
16211441
Hernia. 2004 May;8(2):160-3
14618422
J Laparoendosc Adv Surg Tech A. 2006 Dec;16(6):650-3
17243890
Cochrane Database Syst Rev. 2003;(1):CD001785
12535413
J Pediatr Surg. 1999 Mar;34(3):420-3
10211645
Eur J Clin Invest. 1997 Jun;27(6):510-6
9229232
Am J Surg. 1972 Dec;124(6):819-22
4635227
Surg Endosc. 2009 Jan;23(1):103-7
18528614
J Pediatr Surg. 1998 Jun;33(6):874-9
9660219
Nepal Med Coll J. 2007 Sep;9(3):199-203
18092441
J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):237-40
19260786
JSLS. 2008 Jul-Sep;12(3):277-81
18765052
Surg Laparosc Endosc. 1999 Jan;9(1):14-6
9950121