Laparoscopic treatment of congenital inguinal hernia in children

J Pediatr Surg. 1999 Mar;34(3):420-3. doi: 10.1016/s0022-3468(99)90490-6.


Purpose: The authors report their experience in the laparoscopic treatment of congenital inguinal hernia in children.

Methods: Between September 1994 and September 1995, 45 boys between 8 months and 13 years of age (mean, 4 years) were treated laparoscopically for hydroceles, spermatic cord cysts, or hernias. Twenty-six (57.8%) boys showed a right inguinal hernia, 17 (37.8%) a left hernia, and two cases (4.4%) presented the clinical data of a bilateral pathology. The approach used for small hernias was the placement of purse-string suture around the internal orifice of the inguinal canal (28 cases). As to hernias exceeding 4 to 5 mm in diameter, the external hemicircumference of the neck was opened to bring the conjoined tendon closer to the crural arch with a nonresorbable suture (17 cases). There was never need to use a prosthesis.

Results: Surgery lasted from 15 to 45 minutes with the duration decreasing with experience. There were no intra- or postsurgical complications. Two patients (4.4%) experienced a recurrent inguinal hernia, which was successfully operated on again with laparoscopy.

Conclusion: The early results of these authors suggest that laparoscopic surgery is a feasible and safe technique for the treatment of patent peritoneal vaginal canal (PVC) and inguinal hernia in children.

MeSH terms

  • Child
  • Child, Preschool
  • Hernia, Inguinal / congenital*
  • Hernia, Inguinal / surgery*
  • Humans
  • Infant
  • Laparoscopy / methods*
  • Male
  • Recurrence
  • Reoperation
  • Suture Techniques
  • Time Factors
  • Treatment Outcome