ArticlePediatric surgery international2025
Anatomical variations of the inguinal canal and their impact on laparoscopic hernia repair in male children: a visual classification study.
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Energy profile of laparoscopic TEP bilateral inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Laparoscopic training in porcine models: a tool for continuous professional skill enhancement for paediatric surgeons.Pediatric surgery international · 2026Article
- Modified Mitchell-Banks technique in pediatric inguinal hernia repair: a personalized surgical approach.Frontiers in pediatrics · 2026Article
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Authors and funding
7 authors.
Funding
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Abstract
purposeThe anatomy and variations of the inguinal canal significantly influence outcomes of laparoscopic inguinal hernia (IH) repair in pediatric patients. Male anatomy, with the spermatic cord and vascular structures, presents greater surgical complexity and risk. Although laparoscopy improves anatomical visualization, few studies have explored its impact on pediatric outcomes. MATERIALS AND
methodsThis retrospective study analyzed 158 male children who underwent laparoscopic IH repair between November 2019 and December 2023. Data included age, hernia side, internal ring shape, inferior epigastric artery (IEA) configuration, lipoma, and peritoneal band presence.
resultsOf 207 hernias, 59.5% were right-sided and 40.5% left-sided. Age significantly correlated with IEA prominence (χ
conclusionsIEA and inguinal canal variations are key determinants in pediatric laparoscopic IH repair outcomes. Awareness of these anatomical features, especially in infants, can help reduce complications. Further research may aid in refining surgical approaches and enhancing safety.
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