PDF(Pubmed)
Abstract：
OBJECTIVE: Introducing new surgical techniques in a developing country can be challenging. Inguinal hernias in children are a common surgical problem, and open repair is the standard surgical approach. Laparoscopic repair has gained popularity in developed countries because of similar results. This study aimed to determine the outcomes following the introduction of laparoscopic repairs in Guatemala.
METHODS: This retrospective analysis of prospectively collected data from all patients under 18 years who underwent laparoscopic repair at Corpus Christi Hospital in Patzun, Guatemala, from September 5th to September 8th, 2022.
RESULTS: A total of 14 patients were included in the study. A board-certified pediatric surgeon and a Guatemalan physician performed all cases. The mean patient age was 7.6 years; 7 boys and 7 girls. All patients were interviewed at 7 days, 30 days, and 6 months. There were no postoperative infections, pain requiring re-evaluation, gonadal atrophy, or hernia recurrence.
CONCLUSIONS: Under controlled circumstances with limited but proper equipment and disposables, laparoscopic inguinal hernia repairs can be introduced and performed in a developing country with a risk complication profile comparable to that in developed countries. This study provides promising evidence of laparoscopic repair feasibility and safety where surgical resources are limited.
METHODS: This retrospective analysis of prospectively collected data from all patients under 18 years who underwent laparoscopic repair at Corpus Christi Hospital in Patzun, Guatemala, from September 5th to September 8th, 2022.
RESULTS: A total of 14 patients were included in the study. A board-certified pediatric surgeon and a Guatemalan physician performed all cases. The mean patient age was 7.6 years; 7 boys and 7 girls. All patients were interviewed at 7 days, 30 days, and 6 months. There were no postoperative infections, pain requiring re-evaluation, gonadal atrophy, or hernia recurrence.
CONCLUSIONS: Under controlled circumstances with limited but proper equipment and disposables, laparoscopic inguinal hernia repairs can be introduced and performed in a developing country with a risk complication profile comparable to that in developed countries. This study provides promising evidence of laparoscopic repair feasibility and safety where surgical resources are limited.
摘要：
目的：在发展中国家引入新的外科技术可能具有挑战性。儿童腹股沟疝是一个常见的手术问题，开放修复是标准的手术方法。由于类似的结果，腹腔镜修复在发达国家越来越受欢迎。本研究旨在确定在危地马拉引入腹腔镜修复后的结果。
方法：本回顾性分析了在Patzun的科珀斯克里斯蒂医院接受腹腔镜修复的18岁以下所有患者的前瞻性数据，危地马拉,从9月5日到9月8日,2022年。
结果：共14例患者纳入研究。所有病例均由董事会认证的儿科外科医生和危地马拉医生进行。患者平均年龄为7.6岁；7名男孩和7名女孩。所有患者在7天接受采访，30天,和6个月。术后没有感染,疼痛需要重新评估，性腺萎缩,或疝气复发。
结论：在受控情况下，使用有限但适当的设备和一次性用品，可以在发展中国家引入和实施腹腔镜腹股沟疝修补术，其风险并发症状况与发达国家相当。这项研究提供了在手术资源有限的情况下腹腔镜修复的可行性和安全性的有希望的证据。
方法：本回顾性分析了在Patzun的科珀斯克里斯蒂医院接受腹腔镜修复的18岁以下所有患者的前瞻性数据，危地马拉,从9月5日到9月8日,2022年。
结果：共14例患者纳入研究。所有病例均由董事会认证的儿科外科医生和危地马拉医生进行。患者平均年龄为7.6岁；7名男孩和7名女孩。所有患者在7天接受采访，30天,和6个月。术后没有感染,疼痛需要重新评估，性腺萎缩,或疝气复发。
结论：在受控情况下，使用有限但适当的设备和一次性用品，可以在发展中国家引入和实施腹腔镜腹股沟疝修补术，其风险并发症状况与发达国家相当。这项研究提供了在手术资源有限的情况下腹腔镜修复的可行性和安全性的有希望的证据。
