Laparoscopic ligation of patent processus vaginalis for the treatment of inguinal hernia in children

ABSTRACT

To evaluate the feasibility, safety and efficacy of laparoscopic repair of inguinal hernia in pediatric age group. A total of 401 laparoscopic inguinal herniorrhaphies were performed in 362 children [340 boys and 22 girls]. The age ranged from 2 months and 12 years. A total of 397 indirect hernias sacs were closed [238 right, 81 left and 78 bilaterally], 2 direct hernia [boys] and 2 femoral hernias [one male and one female] were repaired. The median operating time was 25min [range for unilateral 16 to 45min; bilateral 20 to 54 min]. There were no intra-operative complications. Recurrence occurred in 10 [2.5%] patients during a follow up time of 6 months to 4 years. Laparoscopic inguinal hernia repair in children is feasible, safe and effective procedure; especially in case of recurrence and bilateral hernias