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Updated: Jul 2, 2026

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Pediatric inguinal hernia: laparoscopic versus open surgery.

Ramanathan Saranga Bharathi1, Manu Arora, Vasudevan Baskaran

  • 1Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India. sarangabharathi@rediffmail.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|September 4, 2008
PubMed
Summary

Laparoscopic surgery (LS) for pediatric inguinal hernias (PIH) offers better cosmesis and detects more contralateral patencies than open surgery (OS). However, outcomes are similar, making OS a viable standard for unilateral cases, especially where resources are limited.

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • General Surgery

Background:

  • Open surgery (OS) is the traditional treatment for pediatric inguinal hernias (PIH).
  • Laparoscopic surgery (LS) is an emerging alternative, but its adoption is debated.
  • A comparison of surgical outcomes between LS and OS for PIH is needed.

Purpose of the Study:

  • To compare the surgical outcomes of laparoscopic surgery (LS) versus open surgery (OS) for pediatric inguinal hernias (PIH).
  • To evaluate differences in operation time, complications, pain, hospital stay, and cosmesis between the two surgical techniques.

Main Methods:

  • A prospective study compared 85 children undergoing LS (51) or OS (34) for PIH.
  • Data collected included operation time, intra/postoperative complications, pain, hospital stay, cosmesis, and testis size.

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  • Patients were followed up for an average of 3.5 months.

    • Main Results:

    • LS was slightly faster than OS, but the difference was not statistically significant (P=0.06).
    • Postoperative pain and complication rates were similar between LS and OS.
    • LS demonstrated superior cosmesis and identified more contralateral patencies of the processus vaginalis (CPPV) for simultaneous repair.

    Conclusions:

    • Both LS and OS yield similar surgical outcomes for pediatric inguinal hernias.
    • LS offers advantages in cosmesis and detecting/repairing CPPV.
    • Open surgery remains a justifiable standard of care for unilateral inguinal hernias, particularly in resource-limited settings.