Publication
Ultrasound-Guided Dissection and Ligation of the Internal Inguinal Ring for Hernia Repair in Pediatrics: An Experimental Animal Study
dc.contributor.author | Reino-Pires, P | |
dc.contributor.author | Pêgo, JM | |
dc.contributor.author | Miranda, A | |
dc.contributor.author | Barroso, C | |
dc.contributor.author | España, M | |
dc.contributor.author | Correia-Pinto, J | |
dc.date.accessioned | 2018-02-15T12:37:06Z | |
dc.date.available | 2018-02-15T12:37:06Z | |
dc.date.issued | 2017-11 | |
dc.description.abstract | PURPOSE: 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 repair | pt_PT |
dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
dc.identifier.citation | J Pediatr Surg. 2017 Nov;52(11):1848-1852 | pt_PT |
dc.identifier.doi | 10.1016/j.jpedsurg.2017.03.057 | pt_PT |
dc.identifier.uri | http://hdl.handle.net/10400.17/2902 | |
dc.language.iso | eng | pt_PT |
dc.peerreviewed | yes | pt_PT |
dc.publisher | Elsevier | pt_PT |
dc.subject | Laparoscopy | pt_PT |
dc.subject | Minimally invasive | pt_PT |
dc.subject | Hernia Repair | pt_PT |
dc.subject | Rabbits | pt_PT |
dc.subject | HDE CIR PED | pt_PT |
dc.title | Ultrasound-Guided Dissection and Ligation of the Internal Inguinal Ring for Hernia Repair in Pediatrics: An Experimental Animal Study | pt_PT |
dc.type | journal article | |
dspace.entity.type | Publication | |
oaire.citation.endPage | 1852 | pt_PT |
oaire.citation.issue | 11 | pt_PT |
oaire.citation.startPage | 1848 | pt_PT |
oaire.citation.volume | 52 | pt_PT |
rcaap.rights | openAccess | pt_PT |
rcaap.type | article | pt_PT |