International Journal of Abdominal Wall and Hernia Surgery · Published 2025-10-01 · DOI 10.4103/ijawhs.ijawhs_88_25
INTRODUCTION: Laparoscopic repairs for pediatric inguinal hernia have gained gradual acceptance in the past. The objective of this study was to evaluate the clinical efficacy and significance of single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle for children with inguinal hernia. MATERIALS AND METHODS: We retrospectively analyzed clinical data of 529 children with inguinal hernia who underwent single-site laparoscopic percutaneous extraperitoneal closure of the internal ring using an epidural needle at our hospital from January 2019 to August 2024. RESULTS: All micro-laparoscopic surgeries were successfully performed in the 529 patients, among them, a contralateral patent processus vaginalis was present in 208 patients with unilateral pathology and thus simultaneously repaired; a total of 737 cases of inguinal hernia were repaired. The average operating time was 13.42 ± 4.42 min for unilateral hernioplasty and 19.20 ± 2.49 min for bilateral hernioplasty. Only one male patient experienced a recurrence that required reoperation. In terms of postoperative complications, there were no surgical site infections, testicular atrophy, or abdominal adhesions. The mean follow-up time was 14.12 ± 3.45 months. All the patients had a small operative scar, which was minimally visible. CONCLUSION: Single-port laparoscopic surgery using an epidural needle for children is a technically straightforward and reliable approach for treating pediatric inguinal hernias, characterized by high applicability, minimal postoperative complications, reduced recurrence risk, rapid convalescence, and superior aesthetic outcomes.
Abstract from DOAJ. Public domain (CC0 1.0).
Read the article at the publisher →