The aim of this study is to introduce the port-less laparoscopic repair of pediatric inguinal hernia as a novel technique to minimize the operative time, umbilical scar, patient charge and hospital costs. Methods In this prospective study, all patients admitted for laparoscopic inguinal hernia repair, from July 2017 to August 2018, were included. 68 children (aged 1-104 months) were randomly allocated to two groups: standard group included 34 patients using single port for telescope access and port-less group included 34 patients using direct camera insertion through umbilical stab incision. All patients were followed up for 6 months. Chi square, independent samples t test and multiple linear regression analysis were used to analyse the data. p value less than 0.05 was used for all analysis. Results The mean length of the umbilical scar and operative time were significantly higher in Group 1 compared to the port-less group. There was no significant difference in the insufflated CO 2 , length of hospital stay and incidence of infection. In multiple linear regression analysis, after adjustment for confounding variable, there was a significant difference between the mean operative time (β = 11.19, p < 0.001) and the mean length of the umbilical scar (β = 1.52, p < 0.001) between portless and standard groups. The use of the port-less laparoscopic technique results in less cost to the hospital and the patients. Conclusions Applying the port-less laparoscopic technique for inguinal hernia repair in pediatrics produces the same results compared to the single-port technique, with fewer costs, operative time and postoperative scar.
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