Inguinal Hernia Repair with Laparoscopic-Supported Percutaneous Internal Ring Suturing Technique in Children - One Center Experience

Abstract

Objective: High ligation of the hernia sac is applied as the basic principle in inguinal hernia surgery. Nowadays, it is possible to perform inguinal hernia surgeries with minimally invasive methods and with the help of technological developments with the same success rates. One of these minimally invasive methods is the percutaneous internal ring suturing method, assisted by laparoscopy. In this study, we aimed to present the case series that we treated with a laparoscopy-assisted percutaneous internal ring suturing and its results up to six months after surgery. Material and Methods: Pediatric patients admitted to the Pediatric Surgery Clinic of Our Hospital with indirect inguinal hernia between November 01, 2019, and February 29, 2020, were included in the study. Patients with clinical features of incarcerated inguinal hernia were excluded from the study. Inguinal hernia repair was performed by the percutaneous internal ring suturing method supported by laparoscopy. Results: During the study period, 36 inguinal hernia repairs were performed in 27 patients. The distribution of age groups is over 24 months (8/27), 2-6 months (5/27), 6-12 months (4/27), and 12-24 months (1/27). No patient required open surgical technique or the use of additional trocars. The mean operation time was 24.3±1.77 minutes. The mean hospitalization period of the patients was 2.15±0.12 days. During the follow-up of the patients, no recurrence, intra-abdominal complication, or inguinal complication was detected. Conclusion: We found that the percutaneous internal ring closure method applied under laparoscopic support in childhood is an easy and safe method for indirect inguinal hernia repair.