caa a22 4500 475779738 CHVBK 20180406123641.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000237 doi (NATIONALLICENCE)springer-10.1007/s004640000237 Laparoscopic diagnosis and repair of pediatric femoral hernia [Elektronische Daten] Initial experience of four cases [S. L. Lee, J. J. DuBois] Femoral hernias are often misdiagnosed and treated as inguinal hernias. Thus, laparoscopic groin exploration may be a valuable means of evaluating children with presumed recurrent inguinal hernias. This study describes the feasibility of laparoscopic groin exploration and femoral hernia repair in children. Four children (aged 2, 2, 3, and 17 years) with reported unilateral recurrent inguinal hernias underwent diagnostic laparoscopy via a 4-mm pediatric laparoscope. Contralateral defects were visualized in all four patients; there were three femoral hernias and one direct inguinal hernia. None of the contralateral defects had been suspected clinically. Of the seven femoral defects, five were repaired laparoscopically. One patulous defect was repaired by reapproximating the iliopubic tract to Cooper's ligament and overlaying a preperitoneal Teflon felt® patch. The other four defects were repaired using a Teflon felt® plug and preperitoneal patch. A total of three ports were required in each patient (umbilical, suprapubic, and one in between). Two femoral defects in one patient required open repair because a large lipoma prevented adequate visualization and diagnosis. The direct inguinal hernia was also repaired using the open technique. Laparoscopic groin exploration and femoral hernia repair in pediatric patients is safe and technically feasible. Its advantages, however, such as superior diagnostic ability and simultaneous bilateral tension-free repair, need to be validated with a larger study and longer follow-up. Springer-Verlag New York Inc., 2000 Key words: Laparoscopic surgery — Femoral hernia — Pediatric hernia — Recurrent hernia — Hernia nationallicence Lee S. L. Department of Surgery, University of California, Davis Medical Center, 5275 's'sF'' Street, Sacramento, CA 95819, USA, US aut DuBois J. J. Division of Pediatric Surgery, University of California, Davis Medical Center, 5275 's'sF'' Street, Sacramento, CA 95819, USA, US aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1110-1113 0930-2794 14:12<1110 2000 14 464 https://doi.org/10.1007/s004640000237 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000237 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee S. L. Department of Surgery, University of California, Davis Medical Center, 5275 's'sF'' Street, Sacramento, CA 95819, USA, US aut NATIONALLICENCE 700 1- DuBois J. J. Division of Pediatric Surgery, University of California, Davis Medical Center, 5275 's'sF'' Street, Sacramento, CA 95819, USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1110-1113 0930-2794 14:12<1110 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer