Laparoscopic inguinal hernia repair; experience with 874 children

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

“…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.…”

Shalaby technique for efficient single incision laparoscopic pediatric inguinal hernia repair

“…[9] Any technique or maneuver which helps reduce operative time and manipulation and shorten the learning curve in laparoscopy will greatly improve the acceptance and progress of any new technique in laparoscopy. We therefore suggest its use for single port laparoscopic repair of inguinal hernias in children.…”

“…However, because this is a technique of percutaneous closure of inguinal hernias, the inclusion of tissues between the skin and hernia sac, including nerves and muscles, may cause injury and increase the postoperative morbidity in the long[6][7][8][9][10][11][12][13]. In addition to the suture may cut through the muscles with subsequent loosening of the suture around IIR causing recurrence of the hernia.…”

Long-term follow-up of laparoscopic transcutaneous inguinal herniorraphy with high transfixation suture ligature of the hernia sac

“…Laparoscopic inguinal hernia repair in children may reduce postoperative pain, improve cosmesis, allow for less manipulation of the cord structures, and offer easy access to the contralateral groin [2][3][4]. The two most commonly used MAS techniques include the transabdominal approach with intracorporeal suturing, and the transcutaneous approach, of which there are a number of variations [2][3][4][5][6][7]. Such MAS approaches have a steep learning curve.…”

“…Such MAS approaches have a steep learning curve. However, recurrence rates in some series have approximated that of the open repair when performed by experienced surgeons, ranging from 1.13% to 4.3% [4,5,7]. In 2009, we described a single surgeon experience of a laparoscopic transcutaneous simple ligature hernia repair with recurrence rates comparable to the open repair [4].…”