Treatment of inguinal hernias in girls with laparoscopic Burnia technique versus open surgery Original Research

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Randy Mendoza-Vera
Karen Serrano-Concha
Heder Morales-Mayorga
Daniel Acosta-Farina
Jorge Oliveros-Rivero

Abstract

Introduction: At present, the debate is expanding on which technique would be better, comparing open surgery with the laparoscopic technique and the future cosmetic interest in female patients who require surgery, so the objective of the present study was to describe girls with inguinal hernia undergoing laparoscopic correction techniques (Burnia technique) versus conventional surgery for inguinal hernias.


Methods: The present observational study was carried out at the Dr. Roberto Gilbert Elizalde Children's Hospital, in Guayaquil, Ecuador, from January 2021 to February 2022. With a non-probabilistic sample, girls undergoing surgical treatment entered the study for inguinal hernia. Age, surgical technique, hospital stay, surgical time, and operative complications were recorded. Bivariate analysis is performed comparing the surgical techniques: open versus laparoscopic. Proportions are compared with Chi-square and means with Mann-Whitney U.


Results: 89 patients were included in the study, 76 cases by open technique (AT) and 13 cases by Burnia technique (TB). The average age was 3.8 years, 5.05 days of hospitalization in unilateral TA and 2.3 days in unilateral TB (P=0.03), 7.2 days of hospitalization in bilateral TA, and 2.25 days in bilateral TB (P=0.026). Surgical time was 46.9 minutes in unilateral TA and 40.38 minutes in unilateral BT (P=0.232). Operative time of 64.7 min in bilateral TA and 42.5 min in bilateral TB (P=0.038). Complications 2 cases (2.6%) in TA and 1 case (7.7%) in TB (P=0.35).


Conclusions: Using the laparoscopic technique decreased hospital stay times and surgical time when it is bilateral. From the aesthetic point of view, the scars were less visible in the minimally invasive surgical treatment.

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How to Cite
Mendoza-Vera, R., Serrano-Concha, K., Morales-Mayorga, H., Acosta-Farina, D., & Oliveros-Rivero, J. (2022). Treatment of inguinal hernias in girls with laparoscopic Burnia technique versus open surgery: Original Research. Revista Ecuatoriana De Pediatría, 23(2), 86-92. https://doi.org/10.52011/149
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Original Articles
Author Biographies

Randy Mendoza-Vera, Universidad Católica de Santiago de Guayaquil

Medical Surgeon from the Technical University of Manabí. (Manabi, 2014).

Karen Serrano-Concha, Surgery Service, Dr. Roberto Gilbert Elizalde Children's Hospital, Guayaquil Benevolent Board

Physician from the University of Guayaquil (Guayaquil, 2008). Specialist in Pediatric Surgery from the Santiago de Guayaquil Catholic University (Guayaquil, 2020).

Heder Morales-Mayorga, Surgery Service, Dr. Roberto Gilbert Elizalde Children's Hospital, Guayaquil Benevolent Board

Doctor of Medicine and Surgery from the University of Guayaquil. (Guayaquil 2002). Specialist in pediatric surgery from the University of Guayaquil (Guayaquil, 2009). Pediatric Surgeon of the Hospital “Dr. Roberto Gilbert Elizalde.

Daniel Acosta-Farina, Surgery Service, Dr. Roberto Gilbert Elizalde Children's Hospital, Guayaquil Benevolent Board

Doctor of Medicine and Surgery from the Santiago de Guayaquil Catholic University (Guayaquil, 2004). Specialist in Pediatric Surgery from the Autonomous University of Barcelona (Barcelona, ​​2007), Specialist in Health Services Management from the Escuela Superior Politécnica del Litoral (Guayaquil, 2007).

Jorge Oliveros-Rivero, Universidad Católica de Santiago de Guayaquil

Medical Surgeon from the Francisco de Miranda National Experimental University (Venezuela, 2015)

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