2006
DOI: 10.1089/lap.2006.16.513
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Percutaneous Internal Ring Suturing: A Simple Minimally Invasive Technique for Inguinal Hernia Repair in Children

Abstract: The percutaneous internal ring suturing method seems to be a simple and effective minimally invasive procedure with excellent cosmetic results. The rate of complications is comparable to other laparoscopic techniques of inguinal hernia repair in children. According to our experience, percutaneous internal ring suturing should be considered as a treatment alternative.

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Cited by 189 publications
(220 citation statements)
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“…First reports of PIRS technique had been associated with higher rates of ipsilateral recurrence and residual hydroceles 3,4 This had been attributed to several factors such as the inexperience of the surgeons, the use of absorbable suture, the use of a single suture or larger defects. More recent publications report lower recurrence and complications rate.…”
Section: Pediatric Surgery University Hospital Of Split Spinciceva mentioning
confidence: 99%
“…First reports of PIRS technique had been associated with higher rates of ipsilateral recurrence and residual hydroceles 3,4 This had been attributed to several factors such as the inexperience of the surgeons, the use of absorbable suture, the use of a single suture or larger defects. More recent publications report lower recurrence and complications rate.…”
Section: Pediatric Surgery University Hospital Of Split Spinciceva mentioning
confidence: 99%
“…Without exposing the fascial defect they performed five stitches using a 20 G epidural needle. The technique for suture was the same as described above, which is inspired in the percutaneous Internal ring suture (PIRS) described by Patkowski et al [4]. Although no conclusion can be taken by a single successful repair, we believe that the absence of a clear visualization of the fascial defect might favor failure of the hernia repair.…”
Section: Discussionmentioning
confidence: 99%
“…As the techniques evolve, new strategies have been applied, as the use of natural orifices, robotically assisted procedures and percutaneous laparoscopic assisted procedures, in a quest to be even less invasive. While the open techniques for indirect inguinal hernia correction, a common procedure in pediatric surgery, are well established and have had their own evolution, laparoscopic correction has emerged in this global context [1,2], peaking nowadays for some into a scar less percutaneous procedure [3].Simultaneously, the ultrasound technology has evolved greatly, with the technology becoming more available and being currently used in areas other than radiology and diagnostics. The ultrasound-guided loco-regional anesthesia is a well-established example of the ultrasound utility in a surgical setting [4,5].…”
mentioning
confidence: 99%
“…As the techniques evolve, new strategies have been applied, as the use of natural orifices, robotically assisted procedures and percutaneous laparoscopic assisted procedures, in a quest to be even less invasive. While the open techniques for indirect inguinal hernia correction, a common procedure in pediatric surgery, are well established and have had their own evolution, laparoscopic correction has emerged in this global context [1,2], peaking nowadays for some into a scar less percutaneous procedure [3].…”
mentioning
confidence: 99%