Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: a novel technique

J Pediatr Surg. 2005 Jul;40(7):1177-80. doi: 10.1016/j.jpedsurg.2005.03.075.


Subcutaneous endoscopically assisted ligation (SEAL) is a technique for high ligation of the patent processus at the internal ring without a groin incision or dissection of the vas and vessels. Under endoscopic visualization through a single umbilical port, a suture is guided extraperitoneally around the internal ring, avoiding the vas and vessels. The safety, efficacy (recurrence risk), and cost-effectiveness of this unproven procedure must be tested against standard open repair in a trial.

MeSH terms

  • Cost-Benefit Analysis
  • Endoscopy / economics
  • Endoscopy / methods*
  • Hernia, Inguinal / surgery*
  • Humans
  • Infant
  • Infant, Newborn
  • Inguinal Canal / surgery
  • Ligation / methods
  • Recurrence
  • Risk Factors
  • Suture Techniques
  • Umbilicus