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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric
David Terence Thomas1, Kamil Basar Göcmen1, Serkan Tulgar2
1Pendik State Hospital, Department of Pediatric Surgery, Istanbul, Turkey.
Insights
Percutaneous internal ring suturing (PIRS) offers a safe and effective minimally invasive repair for pediatric inguinal hernias and communicating hydroceles. This technique demonstrated low recurrence and complication rates in a recent study.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Procedures
- Surgical Techniques
Background:
- Inguinal hernias and communicating hydroceles are common in children.
- Minimally invasive surgery is increasingly preferred for pediatric conditions.
- Percutaneous internal ring suturing (PIRS) is a less invasive approach.
Purpose of the Study:
- To evaluate the efficacy and safety of PIRS for pediatric inguinal hernia and communicating hydrocele.
- To report the experience and outcomes of PIRS in a pediatric patient cohort.
Main Methods:
- A retrospective review of pediatric patients undergoing laparoscopic PIRS for inguinal hernia or communicating hydrocele.
- Data collected included patient demographics, hernia characteristics, operative details, and follow-up outcomes.
- Procedures were performed between June 2013 and March 2015.
Main Results:
- 213 patients underwent 250 PIRS procedures.
- Mean surgery and anesthesia times were recorded for unilateral and bilateral repairs.
- Follow-up averaged 9.6 months, with a recurrence rate of 1.4% and complication rate of 2.8%.
Conclusions:
- Percutaneous internal ring suturing (PIRS) is a simple, safe, and effective treatment for pediatric inguinal hernias and communicating hydroceles.
- The technique shows promising results with low rates of recurrence and complications.
- PIRS represents a viable minimally invasive option for managing these pediatric conditions.
Background/Purpose:
Percutaneous internal ring suturing (PIRS) is a minimally invasive method for repair of pediatric inguinal hernia. In this study we report our experience with PIRS.
Methods:
All children >10kg presenting to our institute between June 2013 and March 2015 with a diagnosis of indirect inguinal hernia or communicating hydrocele underwent laparoscopic repair using PIRS technique. Patients' gender, age at surgery, side of inguinal hernia/communicating hydrocele at diagnosis, peroperative findings, surgical and anesthesia times plus follow-up findings were collected.
Results:
Two-hundred thirteen patients underwent 250 procedures. Inguinal hernia or communicating hydrocele was diagnosed on the right side in 113 (53.1%), the left side in 75 (35.2%) and bilaterally in 25 patients (11.7%). Contralateral hernia was found in 35 patients (16.4%). Mean surgery time was 14.3min for unilateral and 20.4min for bilateral PIRS, and mean anesthesia time was 33.6min for unilateral and 39.1min for bilateral PIRS. Average follow-up time was 9.6months. Recurrence was seen in 3 (1.4%) and complications in 6 patients (2.8%).
Conclusion:
PIRS is a simple, safe and effective method for the treatment of inguinal hernia and communicating hydrocele in children.
