IPEG

IPEG 2020 TOP ABSTRACT: PHELPS (Pediatric Hernia Extraperitonal Ligation and Percutaneous Suturing)- IDEAL METHOD OF LAPAROSCOPIC HERNIORRHAPHY or END OF THE STORY OF HOOKS AND NEEDLES

August 19, 2020
Presenter: Yury Kozlov
Email: yuriherz@hotmail.com

Authors: Yury Kozlov1; Konstantin Kovalkov2; Pavel Krasnov1; Polina Baradieva1; Andrey Rasputin1; Chimit Ochirov1; Vadim Kochubei1; Vadim Kapuller3; 1Pediatric Hospital Irkutsk; 2Kemerovo Regional Children's Hospital; 3Hadassah University Medical Center, Hebrew University, Jerusalem

PHELPS (Pediatric Hernia Extraperitonal Ligation and Percutaneous Suturing) is an original technique of laparoscopic herniorrhaphy, which allows performing a complete extraperitoneal bypass of the neck of the hernial sac with tying and ideal placement of a knot of hernial ligature at the level of the peritoneum similar to open technique.

To implement this principle is used the special constructed needle. The lumen of the needle contains two ligatures of different colors, one of which is an endless loop. The other is a hernial ligature located in the lumen of the needle.  Using a single puncture of the preperitoneal space, a complete bypass of the neck of the hernial sac is performed. The ends of the hernial ligature is extracted to the outside so that through one puncture hole two ends of the hernial ligature come out on the skin. The hernial ligature is tied outside so that hernial knot is located preperitoneally.

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