ArticleSurgical endoscopy2022
Laparoscopic iliopubic tract repair to treat recurrent pediatric inguinal hernia.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Percutaneous internal ring suturing versus conventional laparoscopic repair of congenital inguinal hernia: a randomized controlled trial.Surgical endoscopy · 2026Trial
- Laparoscopic iliopubic tract repair for adolescent inguinal hernia: a large-scale cohort study of 433 cases demonstrating a safe, mesh-free technique.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Four laparoscopic surgical strategies for pediatric direct inguinal hernia: a retrospective single-center case series of six male children.Frontiers in pediatrics · 2026Article
- 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
- Modifications of surgical techniques in laparoscopic percutaneous extraperitoneal closure of inguinal ring for childhood inguinal hernia to achieve zero recurrence and zero subcutaneous stitch granuloma.Pediatric surgery international · 2024Article
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Authors and funding
1 author at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCongenital defects, such as open processus vaginalis and the canal of Nuck, are common causes of primary pediatric inguinal hernia (PIH). However, in some patients, PIH occurs via acquired defects rather than congenital defects. The most representative cause of PIH is recurrent hernia. Recurrent PIH is treated with high ligation (HL), which is the same method that is used to treat primary PIH. However, the re-recurrence rate of recurrent PIH is high. This study aimed to compare laparoscopic iliopubic tract repair (IPTR) with laparoscopic HL for the treatment of recurrent PIH after primary PIH repair.
methodsFrom June 2013 to March 2019, 126 patients (< 10 years old) with recurrent PIH were retrospectively enrolled. Patients were divided into two groups according to the operative technique: laparoscopic HL (58 patients) and laparoscopic IPTR (68 patients). With HL, the hernial sac was removed and the peritoneum closed. With IPTR, iliopubic tract and transversalis fascia sutures were applied.
resultsThere were no cases of conversion to open surgery. Re-recurrence only occurred in the HL group; no patients in the IPTR group developed re-recurrence (8.6% [5/58] vs. 0.0% [0/68], respectively; p = 0.044). The mean duration from re-operation to re-recurrence in these five patients was 10.6 months. Other surgical outcomes and complications did not differ between the two groups.
conclusionsLaparoscopic IPTR is an effective surgical treatment for reducing re-recurrence of recurrent PIH.
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