ArticleSurgical endoscopy2017
Twenty-year experience with laparoscopic inguinal hernia repair in infants and children: considerations and results on 1833 hernia repairs.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Meta-Analysis to Determine Optimal Timing for Repair of Inguinal Hernia in Pre-Term Infants.World journal of surgery · 2025Pooled it
- Laparoscopic hernia repair in children: does recreating the open operation improve outcomes? A systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Laparoscopic versus open herniorrhaphy for children with inguinal hernia: A meta-analysis of randomized controlled trials.Medicine · 2020Pooled it
- Optimizing surgical techniques for the repair of inguinal hernias in infants.Journal of pediatric surgery · 2026Article
- Laparoscopic identification and management of a pediatric direct inguinal hernia in a high-risk infant: A case report.Urology case reports · 2026Article
- Transumbilical Laparoscopic-Assisted (TULA) Surgery for Treating Abdominal Pathologies in Newborns: A Retrospective Single-Center Experience.Children (Basel, Switzerland) · 2026Article
- Clinical features and misdiagnosis analysis of pediatric inguinal direct hernia: a single-center retrospective study of 23 cases.Frontiers in pediatrics · 2026Article
- Laparoscopic management of a pediatric pantaloon hernia with contralateral patent processus vaginalis: a case report.Frontiers in pediatrics · 2026Article
- Open versus laparoscopic indirect inguinal hernia repair in children: a ten-year retrospective review of laparoscopic percutaneous internal ring suturing.Pediatric surgery international · 2025Article
- Laparoscopic disconnection of the hernial sac: is it enough for the treatment of congenital inguinal hernia in children?Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Surgical methods and outcomes of inguinal hernia repair in children, adolescents and young adults in a retrospective cohort study.Scientific reports · 2025Article
- Comparison of low and standard pneumoperitoneum pressure in laparoscopic pediatric inguinal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Article
- Article
- Single-port laparoscopic percutaneous extraperitoneal internal ring closure for paediatric inguinal hernia using a needle grasper.Pediatric surgery international · 2022Article
- Comparison of Surgical Outcomes of Laparoscopic Glue and Laparoscopic Suture Hernioplasty in Pediatric Female Inguinal Hernia.Children (Basel, Switzerland) · 2022Article
- Single-site laparoscopic high ligation of the extraperitoneal hernia sac with an epidural needle for incarcerated ovarian hernia in infants.BMC surgery · 2022Article
- Percutaneous Internal Ring Suturing (PIRS) - The Benefits of Laparoscopic Inguinal Hernia Repair.Therapeutics and clinical risk management · 2022Article
- Single-site laparoscopic percutaneous extraperitoneal closure (SLPEC) of hernia sac high ligation using an ordinary taper needle: a novel technique for pediatric inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Individualized treatment of pediatric inguinal hernia reduces adolescent recurrence rate: an analysis of 3006 cases.Surgery today · 2020Article
- Needlescopic assisted internal ring suturing; a novel application of low-cost home-made instruments for pediatric inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of laparoscopy in pediatric inguinal hernia (IH) is still controversial. The authors reported their twenty-year experience in laparoscopic IH repair in children.
methodsIn a twenty-year period (1995-2015), we operated 1300 infants and children (935 boys-365 girls) with IH using laparoscopy. The average age at surgery was 18 months (range 7 days-14 years). Body weight ranged between 1.9 and 50 kg (average 9.3). Preoperatively all patients presented a monolateral IH, right-sided in 781 cases (60.1 %) and left-sided in 519 (39.9 %). We excluded patients with bilateral IH and unstable patients in which laparoscopy was contraindicated. If the inguinal orifice diameter was ≥10 mm, we performed a modified purse string suture on peri-orificial peritoneum, in orifices ≤5 mm, we performed a N-shaped suture.
resultsNo conversion to open surgery was reported. In 533 cases (41 %), we found a contralateral patency of internal inguinal ring that was always closed in laparoscopy. In 1273 cases (97.9 %), we found an oblique external hernia; in 21 cases (1.6 %), a direct hernia; and in 6 cases (0.5 %), a double hernia on the same side (hernia en pantaloon). We found an incarcerated hernia in 27 patients (2 %). Average operative time was 18 min (range 7-65). We recorded 5/1300 recurrences (0.3 %), but in the last 950 patients, we had no recurrence (0 %). We recorded 20 complications (1.5 %): 18 umbilical granulomas and two trocars scar infections, treated in outpatient setting.
conclusionsOn the basis of our twenty-year experience, we prefer to perform IH repair in children using laparoscopy rather than inguinal approach. Laparoscopy is as fast as inguinal approach, and it has the advantage to treat during the same anesthesia a contralateral patency occured in about 40 % of our cases and to treat also rare hernias in about 3 % of cases.
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