title: Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era.
abstract: The surgical repair of inguinal hernia and hydrocele is one of the most common operations performed in pediatric surgery practice. This article reviews current concepts in the management of inguinal hernia and hydrocele based on the recent literature and the authors׳ experience. We describe the principles of clinical assessment and anesthetic management of children undergoing repair of inguinal hernia, underlining the differences between an inguinal approach and minimally invasive surgery (MIS). Other points discussed include the current management of particular aspects of these pathologies such as bilateral hernias; contralateral patency of the peritoneal processus vaginalis; hernias in premature infants; direct, femoral, and other rare hernias; and the management of incarcerated or recurrent hernias. In addition, the authors discuss the role of laparoscopy in the surgical treatment of an inguinal hernia and hydrocele, emphasizing that the current use of MIS in pediatric patients has completely changed the management of pediatric inguinal hernias.
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131. Electronic address: ciroespo@unina.it.
authors: Ciro
authors: C
authors: Esposito
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131.
authors: Maria
authors: M
authors: Escolino
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131.
authors: Francesco
authors: F
authors: Turrà
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131.
authors: Agnese
authors: A
authors: Roberti
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131.
authors: Mariapina
authors: M
authors: Cerulo
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131.
authors: Alessandra
authors: A
authors: Farina
authors: Department of Anesthesiology, Federico II University, Naples, Italy.
authors: Simona
authors: S
authors: Caiazzo
authors: Department of Anesthesiology, Federico II University, Naples, Italy.
authors: Giuseppe
authors: G
authors: Cortese
authors: Department of Anesthesiology, Federico II University, Naples, Italy.
authors: Giuseppe
authors: G
authors: Servillo
authors: Department of Translational Medical Sciences, Federico II University, Via Pansini 5, Naples, Italy 80131.
authors: Alessandro
authors: A
authors: Settimi
mesh_terms: D002648:Child; D006552:Hernia, Inguinal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D006848:Testicular Hydrocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
keywords: Children; Hydrocele; Inguinal hernia; Laparoscopy; Pediatric patients