%0 Journal Article
%T Features and Techniques of Laparoscopic Percutaneous Extraperitoneal Closure for Ovarian Hernia.
%A Saeki I
%A Mukai W
%A Imaji R
%A Akiyama T
%J J Laparoendosc Adv Surg Tech A
%V 29
%N 2
%D Feb 2019
%M 30256165
%F 1.766
%R 10.1089/lap.2018.0425
%X <B>OBJECTIVE: </B>The purpose of this report was to evaluate the safety and efficacy of the simple laparoscopic percutaneous extraperitoneal closure (LPEC) method for treating ovarian hernia patients, including newborns and low-birth-weight infants.<BR><B>METHODS: </B>We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017.<BR><B>RESULTS: </B>Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). The mean corrected age was 2.3 ± 2.8 months and the mean body weight was 4.4 ± 1.6 kg. The contralateral positive rate was 53%, and 34% of the cases showed sliding of the fallopian tube. Umbilical hernias were observed in 24 cases (71%). The mean operative time was 53 ± 20 minutes. The LPEC procedure was successful in 32 cases; two cases were converted to open surgery.<BR><B>CONCLUSIONS: </B>Small infants with ovarian hernia have some specific features such as a shortened round ligament and the presence of peritoneum cavities that require skillful techniques when being surgically repaired. The simple LPEC procedure can be performed safely with a low risk of recurrence, even in infants with sliding of the fallopian tube.