Inguinal hernia repair in children using single-incision laparoscopic-assisted percutaneous extraperitoneal closure

Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

“…Recently, there is a trend for increased reports of extraperitoneal closure because of its ease of use and good results [24]. In particular, LPEC, reported by Takehara et al [4], is performed widely in Japan [10,11,[13][14][15]. There have been some comparisons between traditional open herniorrhaphy and laparoscopic repair, including a randomized study and a systematic review.…”

“…The concept of laparoscopic hernia repair can be divided into two groups. The first group is intraperitoneal internal ring suturing [1][2][3], and the second is extraperitoneal closure [4][5][6][7][8][9][10][11][12][13][14][15]. Recently, there is a trend for increased reports of extraperitoneal closure because of its ease of use and good results.…”

Laparoscopic percutaneous inguinal hernia repair in children: Review of technique and comparison with open surgery

“…Significant complications have been reported with percutaneous hernia repair approaches, however, including isolated femoral nerve and vascular injuries [15], iliac vein puncture injury, and bowel strangulation from adhesion (Table 3) [15,17]. Previously described percutaneous techniques involve use of laparoscopic grasping forceps for tissue handling or instrument guidance [8,18,20], while others utilize strait hypodermic needles, vascular catheters, or Tuohy needles for access at the groin [14,15,17,20]. The presently described technique may minimize the risk of intraabdominal injury by limiting intraabdominal instrumentation to the laparoscope and curved closure needle.…”

Ten year experience of laparoscopic repair of pediatric hydrocele and the long-term follow-up results

“…It was considered that large size of the hernia, premature state of the infant, history of incarceration and postoperative complications were associated with increased recurrence of hernia [8][9][10][11][12][13]. Extraperitoneal internal ring closures seemed to have a lower recurrence rate [5]. Our single center's experience revealed that several technique factors might contribute to the low rate of recurrence after laparoscopic hydrocele repair (1.40%).…”

“…Several types of laparoscopic repairs of inguinal hernias have been introduced and laparoscopic hernia repair has become widely performed, however there are limited studies regarding laparoscopic hydrocele repair [1][2][3][4][5][6][7][8][9]. The purpose of this article was to report our laparoscopic findings and unique surgical approach for hydrocele repair.…”