ArticleSurgical endoscopy2025
Percutaneous inguinal canal semi-closure during laparoscopic repair for large indirect inguinal hernia.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Diagnostic accuracy of upright ultrasonography for groin hernia compared with laparoscopic findings: a single-center study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFactors such as a large lateral hernia and insufficient prosthetic overlap have been associated with hernia recurrence after laparoscopic transabdominal preperitoneal (TAPP) repair. The effectiveness of defect closure in reducing recurrence during laparoscopic hernia repair has been previously reported. We developed a novel technique called percutaneous inguinal canal semi-closure (PICS) to reinforce laparoscopic mesh repair. PURPOSE: To assess whether this technique is both safe and practical in a clinical setting, focusing on postoperative factors such as recurrence, complications, and postoperative pain.
methodsA retrospective analysis of consecutive patients undergoing TAPP for L3 hernia repair.
resultsIn total, 58 patients who underwent TAPP for L3 inguinal hernias were included, 27 of whom (46.6%) underwent TAPP with PICS, while 31 (53.4%) underwent standard TAPP without PICS. No recurrences were observed in the PICS group, compared to two recurrences in the control group, although this difference did not reach statistical significance. The incidence of postoperative complications was comparable between groups (48.1% vs. 45.2%, respectively). The median procedure time of PICS was 7.3 min. Patients in the PICS group reported higher pain scores than the control group for up to 21 days postoperatively, but no chronic pain was observed in either group.
conclusionThe modified laparoscopic technique involving PICS for large indirect inguinal hernias appears safe and feasible.
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