Related Experiment Video
Updated: Dec 18, 2025
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic Repair of Paediatric Indirect Inguinal Hernia: Modified Flip Flap Technique
A Garzi1, M Prestipino2, E Calabrò1
1Division of Pediatric M.I.S. and Robotic Surgery University of Salerno, Italy.
Insights
A modified laparoscopic Flip-Flap technique using tissue glue for indirect inguinal hernias in children is safe and effective. This approach reduces postoperative hydrocele incidence, showing comparable relapse rates to open surgery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Indirect inguinal hernia is a common congenital condition in children, often requiring surgical correction.
- Laparoscopic techniques are increasingly utilized for pediatric inguinal hernia repair.
- Postoperative hydrocele is a known complication of traditional laparoscopic methods.
Purpose of the Study:
- To assess the efficacy and safety of a modified laparoscopic Flip-Flap technique for pediatric indirect inguinal hernia.
- To evaluate the use of tissue glue in closing the peritoneal-vaginal duct (DPV).
- To determine the impact on suture tightness and reduction of postoperative hydrocele.
Main Methods:
- Retrospective review of 187 pediatric patients (18 months to 14 years) undergoing hernia repair.
- Application of the modified videolaparoscopic (VLS) Flip-Flap technique with tissue glue.
- Evaluation of safety, efficacy, operative time, relapse rate, and short-term complications over a 6-month follow-up.
Main Results:
- The modified Flip-Flap technique demonstrated safety, reproducibility, and effectiveness.
- Relapse rates and complication incidence were comparable to the open surgical approach.
- This technique showed superiority over other laparoscopic methods in terms of outcomes.
Conclusions:
- The modified laparoscopic Flip-Flap technique with tissue glue is a viable and effective option for pediatric indirect inguinal hernia repair.
- The method offers advantages in suture security and complication reduction.
- It represents a safe and reproducible surgical approach for pediatric surgeons.
Abstract:
In paediatric age, indirect inguinal hernia represents more than 95% of the hernial disease. It is a congenital type, in contrast with adulthood in which acquired forms are more frequently found (1). The laparoscopic correction of indirect inguinal hernia is one of the most common surgeries performed in paediatric age. In recent years, various techniques have been introduced for the videolaparoscopic correction of this disease. The aim of this study is to provide an assessment of the efficacy and safety of the execution of a modified Flip-Flap technique, using tissue glue for filling of Peritoneal-vaginal duct (DPV), performed in order to ensure greater suture tightness and reduce the incidence of postoperative hydrocele. author1, author2, author 2, author1, author1, author 2 The Authors present a retrospective review of their record of cases, considering a total of 187 patients aged between 18 months and 14 years. For the correction of the hernial defect, the modified VLS Flip-Flap technique was carried out. The evaluation of safety, efficacy, operating time, relapse rate and development of short-term complications (such as postoperative hydrocele, scrotal hematoma or ecchymosis, atrophy or iatrogenic testicle ascension) was considered in a mean follow-up of 6 months. The Authors suggest that this variant of the peritoneal Flip-Flap technique is simple to perform; its safety, reproducibility and effectiveness is proven and has a percentage of relapses and complications overlapping with the "open" approach and superior to other laparoscopic techniques.
