Single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an ordinary taper needle for pediatric inguinal hernia: A retrospective comparative study

Abstract

Objective To analyze a modified method of laparoscopic treatment for pediatric indirect inguinal hernia, single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an ordinary taper needle, to evaluate its safety and efficacy. Methods During August 2016 and June 2017, 400 children with indirect inguinal hernia were operatedlaparoscopicallyin a same teamof surgeons. They were divided into two groups according to different operation procedureperformed. 208 cases were enrolled in the study group and all these patients had been underwent high ligation surgery with a modified single-site laparoscopic technique: mainly performed by extracorporeal suturing only with an ordinary taper needle (1/2 Arc 11x34). While the control group was consisted of 192 cases, and they were sutured by taper needle along withEndoclose needle. The clinical data were collected and analyzed retrospectively. Results All surgeries were successful without serious complications. In terms of hospitalization expenses and Auxiliary forceps utilization, the differences were statistically significant (P 0.05). Conclusion The modified single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an ordinary taper needle for the repair of pediatric indirect inguinal hernia is a safe and reliable procedure, with minor invasion and satisfied outcome, and no specific device is needed hence more cost-saving. It is easy to learn and perform, and is worthy to be popularized in clinic. Key words: Hernia, inguinal; Laparoscope; Closure of internal orifice; Child; Ordinary taper needle