Safety and Efficacy of Laparoscopic Percutaneous Extraperitoneal Closure for Inguinal Hernias and Hydroceles in Children: A Comparison with Traditional Open Repair

Abstract

LPEC is safe and effective for inguinal hernias and hydroceles in children, regardless of age, sex, and incarceration and could reduce the incidence of metachronous contralateral hernias.

Comparison of percutaneous extraperitoneal closure (LPEC) and open repair for pediatric inguinal hernia: experience of a single institution with over 1000 cases

“…Recently, there is a trend for increased reports of extraperitoneal closure because of its ease of use and good results [24]. In particular, LPEC, reported by Takehara et al [4], is performed widely in Japan [10,11,[13][14][15]. There have been some comparisons between traditional open herniorrhaphy and laparoscopic repair, including a randomized study and a systematic review.…”

“…The concept of laparoscopic hernia repair can be divided into two groups. The first group is intraperitoneal internal ring suturing [1][2][3], and the second is extraperitoneal closure [4][5][6][7][8][9][10][11][12][13][14][15]. Recently, there is a trend for increased reports of extraperitoneal closure because of its ease of use and good results.…”

Laparoscopic Treatment of Pediatric Hydrocele and the Evaluation of the Internal Inguinal Ring

“…Although our patient population was relatively small, LPEC may be safe and efficient for treating pediatric hydrocele in the same manner as IH. 9 The rate of long-term complications, such as infertility due to obstruction of the vas deferens, should be compared between these patient groups in the future.…”

Pediatric Laparoscopic Inguinal Hernia Repair: A Review of the Current Evidence

“…Several studies have shown no increased risk associated with the laparoscopic repair, including overall complications, testicular blood flow, and volumes. 15,23,24 Protection of adjacent or incarcerated structures has also been reported. In a report by Kaya et al, 25 laparoscopy allowed for direct visual control, examination of the incarcerated organ, and repair of the hernia in the same operative time.…”