Evidence map›Paper›PMID 42579235›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Technical refinements of pediatric laparoscopic percutaneous extraperitoneal closure for adult indirect inguinal hernia.

Shoko Kato, Takuya Saito, Kenitiro Kaneko, Remi Kondo, Nozomi Matsushita, Yasuyuki Fukami, Tsuyoshi Sano

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shoko KatoDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.ORCID http://orcid.org/0000-0003-4645-5556
Takuya SaitoDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan. saito.tak@kmu.ac.jp.ORCID http://orcid.org/0000-0002-7860-9209
Kenitiro KanekoDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.ORCID http://orcid.org/0000-0002-7767-1027
Remi KondoDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.
Nozomi MatsushitaDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.
Yasuyuki FukamiDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.
Tsuyoshi SanoDepartment of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic percutaneous extraperitoneal closure (LPEC) is an established procedure for pediatric inguinal hernia repair. In adults, however, its application is technically more demanding because of a thicker abdominal wall, greater tissue resistance, and a deeper ligation plane. Based on our standardized pediatric LPEC technique, we describe technical refinements for adult indirect inguinal hernias and examine an important cautionary finding related to patient selection.

methodsAmong adults with suspected indirect inguinal hernia treated between 2023 and 2025, 20 patients who underwent LPEC were evaluated. For adult cases, we incorporated several technical refinements, including double ligation, puncture-site enlargement, tension reduction during ligation, and needle-route straightening.

resultsThe procedure was completed in selected adults, including those with a high body mass index and greater abdominal wall thickness. Recurrence occurred in two patients, both of whom had preoperative bowel protrusion. This finding suggests that bowel protrusion should be regarded as an important cautionary feature when considering the indication for adult LPEC.

conclusionStandardized pediatric LPEC may be adapted for selected adults when appropriate technical refinements are applied. However, cases with preoperative bowel protrusion require particularly careful judgment when determining indication.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyAbdominal WallAdultAgedFemaleHumansLigationMaleMiddle AgedPatient SelectionAdultsInguinal herniaLaparoscopic percutaneous extraperitoneal closureMesh-free repairSurgical technique

Identifiers

PMID42579235

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.