Abstract
Purpose: To introduce a suture needle (Endoneedle) designed for laparoscopic extraperitoneal closure of patent processus vaginalis (PPV). Methods: The Endoneedle consists of 19-gauge hollow needle with a notch near the tip and 2-0 nonabsorbable suture and a plastic sheath. The procedures are performed with the help of a 5-mm telescope inserted through the umbilicus, and a 2-mm Endograsp placed below the umbilicus. Results: Since July 1998, this procedure has been carried out in 61 girls aged 3 months to 14 years. There have been no postoperative complications, and no recurrent hernia. The surgical wounds completely disappeared. In the most recent 10 cases, the mean operative time was 21 minutes for unilateral and 28 minutes for bilateral closure. Conclusion: This procedure is easy and safe, and it has excellent cosmetic results.
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