Laparoscopic herniorrhaphy in XXXX .

@entity1 @entity169 @entity14147 @entity547
The authors report their experience in laparoscopic repair of @entity169 in @entity1 . From May 2010 to November 2013, 122 @entity1 with @entity169 underwent laparoscopic herniorrhaphy (92 males and 30 females). Telescope used was 5 mm, while trocars for the operative instruments were 3 or 2 mm. After introducing the camera at the umbilical level and trocars in triangulation, a 4-0 nonabsorbable monofilament suture was inserted directly through the abdominal wall. The internal inguinal ring was then closed by N or double N suture. All operations were performed in one-day surgery setting. In the case of association of inguinal and @entity14147 an original technique was performed for positioning and fixing the umbilical trocar and for the primary closure of the abdominal wall defect. The postoperative follow-up consisted of outpatient visits at 1 week and 1, 3, and 6 months. The mean age of @entity1 was 38.5 months. Of all @entity1 , 26 were also suffering from @entity14147 (19 males and 7 females). A total of 160 herniorrhaphies were performed; 84 were unilateral (66 @entity169 , 18 @entity169 associated with @entity14147 ), 38 bilateral (30 @entity169 associated with @entity14147 ). Nine of 122 @entity1 (6 males and 3 females) were operated in emergency for @entity547 . A pre-operative diagnosis of @entity169 was performed in 106 cases. Of these @entity1 , laparoscopy revealed a controlateral open internal inguinal ring in 22 cases (20.7%). The mean operative time was 29.9  15.9 min for the monolateral herniorrhaphies, while in case of bilateral repair the mean operative time was 41.5  10.4 min. The mean operative time for the repair of @entity169 associated with @entity14147 was 30.1  7.4 while for the correction of bilateral @entity169 associated with @entity14147 39.5  10.6 min. There were 3 recurrences (1.8%): 2 cases in unilateral repair and 1 case a unilateral recurrence in a bilateral repair. No other complications were seen. Laparoscopic repair of @entity169 in @entity1 performed in this experience resulted a safe and effective procedure.
