Laparoscopic inguinal herniorrhaphy in children: A three-center experience with 933 repairs

Assessment and Management of Inguinal Hernia in Infants

“…Reported hernia recurrence rates are comparable to those associated with open repair. 60,61 However, data regarding the risk of testicular atrophy are not available. 62,63 A prospective, randomized, single-blinded trial comparing laparoscopic to open repair of inguinal hernias showed that children who were older than 3 months of age when laparoscopic repair was performed required significantly fewer doses of pain medication.…”

Laparoscopic Approach as an Alternative Option in Treatment of Pediatric Inguinal Hernia

“…The reported recurrence rates in extracorporeal suturing techniques are given between 0.35-2.8% in which small spaces are left when crossing over the spermatic cord or the testicular vessels (41,54,55,57,62) . On the contrary, the reported recurrence rates 3.1-4.4% are much higher, in which the suture material is tied off in a similar way but intracorporeally (47,52,67) . An intrinsic risk of recanalization of the vaginal process is mainly believed to result in recurrence.…”

“…It is a reciprocal approach where the base of the hernia sac is ligated at the level of the internal inguinal ring, but mostly differs from the original open technique in leaving the sac in place. Albeit the described laparoscopic techniques, there is no single laparoscopic approach that has replaced the traditional repair (40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57) . The repair can be classified into two broad categories (intra or extraperitoneal) based on their approaches to the internal ring.…”

Common urological problems in children: inguinoscrotal pathologies

“…Different laparoscopic techniques are largely categorised into intracorporeal or extracorporeal ligation of the patent processus vaginalis. [17][18][19] Benefits of laparoscopic surgery include the possible visualisation of the contralateral deep ring and better cosmetic outcome. Yet it may incur a higher set-up cost or longer operating time.…”

“…23 Of note, a higher recurrence rate of up to 3.4% for laparoscopic repair was observed in the early era of laparoscopic surgery. 18 There is no consensus, however, on whether a laparoscopic or open approach is superior.…”