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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Technical standardization of laparoscopic herniorraphy in pediatric patients
Ciro Esposito1, Leonardo Montinaro, Francesca Alicchio
1Department of Pediatrics, Pediatric Surgery Unit, Federico II University of Naples, Via Pansini 5, 80131, Naples, Italy. ciroespo@unina.it
World Journal of Surgery
|July 15, 2009
Summary
Laparoscopic inguinal hernia repair in children is safe and effective, with low recurrence rates. This technique allows simultaneous repair of bilateral hernias and contralateral patencies, offering an alternative to traditional surgery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic inguinal hernia repair is infrequently documented in pediatric populations.
- This study details a standardized laparoscopic technique for pediatric inguinal hernia repair.
Purpose of the Study:
- To demonstrate the standardization and efficacy of laparoscopic inguinal hernia repair in pediatric patients.
- To present surgical outcomes and complication rates for this minimally invasive approach.
Main Methods:
- A 3-year study involving 315 pediatric patients undergoing laparoscopic unilateral inguinal hernia repair.
- Utilized a modified laparoscopic herniorraphy technique with three trocars.
- Closed the periorificial peritoneum with a nonresorbable purse-string suture.
Main Results:
- Average operating time was 25 minutes; all procedures were outpatient.
- Contralateral patent processus vaginalis found in 39% of cases, leading to bilateral repair.
- Low complication rate (0.3%) and recurrence rate (0.6%) observed with a minimum 1-year follow-up.
Conclusions:
- Laparoscopic inguinal hernia repair is a safe and effective option for pediatric patients when performed by experienced surgeons.
- The technique facilitates simultaneous repair of all hernia types, including contralateral patencies.
- Established as a viable alternative to conventional open hernia repair methods.
