Laparoscopic inguinal hernia repair does not impair testicular perfusion

Effects of Laparoscopic Hernia Repair by PIRS (Percutaneous Internal Ring Suturing) Technique on Testicular Artery Blood Supply

“…7 Many studies confirmed that testicular blood supply was not affected in different open or laparoscopic approaches of inguinal hernia repair. [8][9][10] This study confirmed that PIRS technique has all advantages of minimally invasive surgery. The cosmesis and the virtual extinction of metachronous contralateral hernia are the major advantages.…”

Characteristics of laparoscopic inguinal hernia recurrences

“…Although in this series one single suture was used in most cases, retrospectively it appears safer to use a second or even third suture medially if there is any doubt about the mechanical stability of the medial area. The fear of impairing testicular perfusion is unfounded [7]. It has been shown in a further study that careful suturing and knotting techniques reduce the recurrence rate.…”

Fifteen years experience in laparoscopic inguinal hernia repair in pediatric patients. Results and considerations on a debated procedure

“…Another point of interest of our study is that we have no complication related to dissection phase, above all because, thanks to the magnified view of surgical field on the screen, we avoid touching the vas and vessels that are so small in this age range [18,19]. Another clear advantage of the laparoscopic procedure to treat inguinal hernia is being able to identify and treat rare hernias, which happened in seven cases (1.2%) of our series when there was presence of a direct hernia (Fig.…”