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Ultrasound-Guided Dissection and Ligation of the Internal Inguinal Ring for Hernia Repair in Pediatrics: An Experimental Animal Study

dc.contributor.authorReino-Pires, P
dc.contributor.authorPêgo, JM
dc.contributor.authorMiranda, A
dc.contributor.authorBarroso, C
dc.contributor.authorEspaña, M
dc.contributor.authorCorreia-Pinto, J
dc.date.accessioned2018-02-15T12:37:06Z
dc.date.available2018-02-15T12:37:06Z
dc.date.issued2017-11
dc.description.abstractPURPOSE: We aimed to test the feasibility and reliability of ultrasound-guided percutaneous internal inguinal ring suture in rabbits, as a model for inguinal hernia repair in pediatric population. METHODS: Twenty-eight rabbits were divided in 2 groups: group I (female morphology) - persistence of the peritoneal-vaginal duct with gonads placed in intraperitoneal position; group II (male morphology) - persistence of the peritoneal-vaginal duct with gonads kept intact inside the duct. Under exclusive ultrasound-guided image we tried to perform a complete pre-peritoneal ligation of the peritoneal-vaginal duct at the level of the internal inguinal ring using a 20G peripheral IV catheter and 2-0 non-absorbable suture. Afterwards, an exploratory laparoscopy was performed to evaluate the ligation. RESULTS: Ultrasound allowed characterization of inguinal-crural structures. Group I - complete and reliable suture 66.7%, incomplete but reliable suture 16.7%, inappropriate ligation 16.7%; group II - complete but unreliable suture 76.9%, incomplete and unreliable suture 11.5%, inappropriate suture 11.5%. No acute complications were logged. Percutaneous dissection and ligation of internal inguinal ring through exclusive ultrasound guidance was feasible and likely reliable, namely for female inguinal hernia repairpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Pediatr Surg. 2017 Nov;52(11):1848-1852pt_PT
dc.identifier.doi10.1016/j.jpedsurg.2017.03.057pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2902
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectLaparoscopypt_PT
dc.subjectMinimally invasivept_PT
dc.subjectHernia Repairpt_PT
dc.subjectRabbitspt_PT
dc.subjectHDE CIR PEDpt_PT
dc.titleUltrasound-Guided Dissection and Ligation of the Internal Inguinal Ring for Hernia Repair in Pediatrics: An Experimental Animal Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1852pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage1848pt_PT
oaire.citation.volume52pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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