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A prospective, randomized comparison of traditional and laparoscopic inguinal exploration in children

, : A prospective, randomized comparison of traditional and laparoscopic inguinal exploration in children. American Surgeon 64(2): 119-121

The indications for routine exploration of the asymptomatic contralateral groin during pediatric herniorrhaphy remain controversial. Laparoscopy through the open hernia sac has been described as an alternative to this traditional approach and appears to offer some advantages. In deciding whether this technique should be introduced into our clinical practice, we sought to discover whether there was a significant time difference between these two methods and if there were unique complications associated with this approach. We elected to answer this question in a prospective, randomized study. A total of 18 patients completed the study. There were no significant complications in either group. The average total surgical procedure time in the laparoscopy group was 47.5 minutes versus 41 minutes in the traditional group, which is not a statistically significant difference. We conclude from this prospective, randomized pilot study that laparoscopic exploration can be introduced into a pediatric surgical practice without a significant time penalty, and we currently offer it as a reasonable and safe alternative to our patients.


PMID: 9486881

Other references

Akhras, F.; Upward, J.; Stott, R.; Jackson, G., 1982: Early exercise testing and coronary angiography after uncomplicated myocardial infarction. In a prospective study 61 patients aged 55 years or less with uncomplicated myocardial infarction underwent treadmill stress testing at two weeks and coronary angiography at six weeks after infarction. Of the 44 patients who had a positive stress...

Van Vliet Lanoe Brigitte, 1991: Late Glacial and Holocene pedogenesis; the response to human activities. Palaeoklimaforschung 6: 227-240

Ferrara, M.; Ponte, G.; Chiariello, S.; Napoli, G.; Gangone, F.; Coppola, A.; Coppola, L.; Esposito, L., 1998: Familial study in subjects with thrombocytopenia. British Journal of Haematology 102(1): 363, July 1

Arner, O.; Halldin, M., 1959: An internationally usable identity and health card: a suggestion. Svenska Lakartidningen 56: 2146-2153

Tsang, S.N.; Pycz, L.A.; Herbold, N.H., 2007: Dietary supplement use among physically active multiethnic adults. The purpose of this project was to examine the usage of dietary supplements by physically active, multiethnic adults as well as the factors associated with such usage. A self-administered questionnaire was used for data collection, which found tha...

Reid, W.M.; Freeman, A.E., 1936: A new fluke Prosthogonimus folliculus n sp Trematoda from the American bittern. Transactions of the American Microscopical Society, 55: 366-368

Rohfritsch, O., 1971: Developpement cecidien et role du parasite dans quelques galles d'arthropodes. cellia: 233-339

Robert,, F.S.rr, A., 1992: Evolutionary role of gametophytic selection in the domestication of Pennisetum thyphoides (pearl millet): a two-locus asymmetrical model. Gametophytic competition, demonstrated in pearl millet, has been shown to promote homogametic fertilization, especially in the case of wild/cultivated pollen mixtures. Therefore, gametophytic selection can reduce interbreeding between the two form...

Tarumoto, N.; Sakai, J.; Kodana, M.; Kawamura, T.; Ohno, H.; Maesaki, S., 2016: Identification of Disseminated Cryptococcosis Using MALDI-TOF MS and Clinical Evaluation. Disseminated cryptococcosis is rare but can often become severe with a poor outcome. Given recent reports that matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) analyser is useful for Cryptococcus species...

Venkateswarlu, J.P.; Sastri, P.M.; Rao, M.R.; Ranganadham, M., 1990: Studies on the physical and chemical properties of ice creams formulated with different substitution levels of arrowroot powder for milk solids-not-fat. Replacement of milk solids - not - fat (SNF) with arrowroot powder at 20, 40 and 60% In soft serve Ice cream indicated that replacement at multiple levels of 29% increased the pH, relative viscosity and melt down duration values and decreased the...