ArticleChildren (Basel, Switzerland)2021
Learning Curve for Laparoscopic Repair of Pediatric Inguinal Hernia Using Percutaneous Internal Ring Suturing.
Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Laparoscopic vs. laparoscopically assisted pediatric inguinal hernia repair: a systematic review.Pediatric surgery international · 2023Pooled it
- Article
- Learning Curve Analysis of Laparoscopic Intracorporeal Sac Transection and Purse-String Suture for Pediatric Inguinal Hernia Repair.Children (Basel, Switzerland) · 2026Article
- Article
- Laparoscopic-assisted extraperitoneal ligation versus intraperitoneal suturing for pediatric inguinal hernia repair: a multicenter, observational study of recurrence.World journal of pediatric surgery · 2025Article
- Percutaneous Internal Ring Suturing for Inguinal Hernia Repair in Children: Retrospective Cohort of 714 Patients with Minimum 3-Year Follow-Up.Medicina (Kaunas, Lithuania) · 2024Article
- Article
- Comparison of Percutaneous Internal Ring Suturing (PIRS) versus Open Ligation of the Patent Processus Vaginalis for the Treatment of Communicating Pediatric Hydrocele.Children (Basel, Switzerland) · 2024Article
- Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants.Diagnostics (Basel, Switzerland) · 2023Article
- Advances and Future Challenges of Minimally Invasive Surgery in Children.Children (Basel, Switzerland) · 2022Article
- Comparison of laparoscope-assisted single-needle laparoscopic percutaneous extraperitoneal closure versus open repair for pediatric inguinal hernia.BMC surgery · 2022Article
- Pediatric Minimally Invasive Surgery-A Bibliometric Study on 30 Years of Research Activity.Children (Basel, Switzerland) · 2022Article
- Comparison of Surgical Outcomes of Laparoscopic Glue and Laparoscopic Suture Hernioplasty in Pediatric Female Inguinal Hernia.Children (Basel, Switzerland) · 2022Article
- The Learning Curve of Urodynamics for the Evaluation of Lower Urinary Tract Symptoms.Medicina (Kaunas, Lithuania) · 2022Article
- The Incidence and Causes of Unplanned Reoperations as a Quality Indicator in Pediatric Surgery.Children (Basel, Switzerland) · 2022Article
- Transumbilical Single-Site Laparoscopic Intraperitoneal Closure of the Internal Inguinal Ring for Pediatric Inguinal Hernia.Frontiers in pediatrics · 2022Article
- Percutaneous Endoscopic Gastrostomy Tubes Can Be Considered Safe in Children: A Single-Center 11-Year Retrospective Analysis.Medicina (Kaunas, Lithuania) · 2021Article
- Comparison of Recurrence and Complication Rates Following Laparoscopic Inguinal Hernia Repair among Preterm versus Full-Term Newborns: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2021Review
- The Safety and Effectiveness of Laparoscopic Pyloromyotomy Using 3-mm Electrocautery Hook versus Open Surgery for Treatment of Hypertrophic Pyloric Stenosis in Infants.Children (Basel, Switzerland) · 2021Article
- Effects on Recovery of Pediatric Patients Undergoing Total Intravenous Anesthesia with Propofol versus Ketofol for Short-Lasting Laparoscopic Procedures.Children (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous internal ring suturing (PIRS) is a simple and popular technique for the treatment of inguinal hernia in children. The aim of this study was to analyze the learning curves during implementation of PIRS in our department.
methodsA total of 318 pediatric patients underwent hernia repair using the PIRS technique by three pediatric surgeons with different levels of experience in laparoscopic surgery. These patients were enrolled in a prospective cohort study during the period October 2015-January 2021. Surgical times, intraoperative and postoperative complications, in addition to outcomes of treatment were compared among the pediatric surgeons.
resultsRegarding operative time a significant difference among the surgeons was found. Operative time significantly decreased after 25-30 procedures per surgeon. The surgeon with advanced experience in laparoscopic surgery had significantly less operative times for both unilateral (12 (interquartile range, IQR 10.5, 16.5) min vs. 21 (IQR 16.5, 28) min and 25 (IQR 21.5, 30) min;
conclusionsA PIRS learning curve for perioperative and postoperative complications, recurrences, and conversion rates reached the plateau after each surgeon had performed at least 30 cases. After that number of cases PIRS is a safe and effective approach for pediatric hernia repair. A surgeon with an advanced level of experience in pediatric laparoscopic surgery adopted the technique more easily and had a significantly faster learning curve.
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