Variability of inguinal hernia surgical technique: A survey of North American pediatric surgeons

Prospective randomized single-center, single-blind Comparison of laparoscopic vs open repair of pediatric inguinal hernia

“…The OS technique was similar to that described by Levitt et al [12]. The modification was made on double-ligation of the proximal end of the sac without it being twisted, and there was no attempt to tighten the internal rings in any of the repairs.…”

“…Open repair of an inguinal hernia (IH), which is the most common operation performed by pediatric surgeons, has been accepted as the method of choice since it was first described >50 years ago [12]. For IH repair in adults, collective trials comparing laparoscopic and open techniques found that patients resumed their usual activities earlier and suffered less persistent pain and numbness than patients who underwent open surgery (OS) [15].…”

Preperitoneal approach for herniotomy in infants: a 9-year review

“…In both the United Kingdom and North America opening the inguinal canal and dissecting the sac from the cord is widely practiced [17,18]. However, damage to the ilioinguinal nerve, vas deferens, testicular atrophy and testicular maldescent are recognised complications of this approach [15,19,20].…”

Technical refinements in laparoscopic repair of childhood inguinal hernias

“…The main aim in open repair of childhood hernias is to transfix the proximal ends of the patent processus vaginalis after its division [8]. Laparoscopic hernia repair also can achieve the same goal.…”