Related Experiment Video
Updated: Sep 22, 2025
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 for Indirect Inguinal Hernia in Pediatric Patients
1Department of Surgery, College of Medicine, Kyung Hee University, Seoul, Korea.
Insights
Percutaneous internal ring suturing (PIRS) offers a safe and effective laparoscopic method for pediatric inguinal hernia repair, yielding excellent cosmetic outcomes. Careful technique refinement can further minimize complications associated with this extracorporeal suture approach.
Area of Science:
- Pediatric surgery
- Minimally invasive surgery
- Laparoscopic techniques
Background:
- Inguinal hernia repair in children commonly utilizes laparoscopic approaches.
- Percutaneous internal ring suturing (PIRS) is an extracorporeal laparoscopic technique.
- PIRS demonstrates comparable complication and recurrence rates to other methods.
Discussion:
- PIRS provides excellent cosmetic results in pediatric inguinal hernia repair.
- Technical refinements in PIRS can enhance surgical safety.
- Minimizing perioperative complications is crucial for PIRS success.
Key Insights:
- PIRS is a viable laparoscopic option for pediatric inguinal hernias.
- Comparable efficacy to other laparoscopic techniques is achievable.
- Cosmetic outcomes are a significant advantage of PIRS.
Outlook:
- Further research into PIRS technical refinements may optimize outcomes.
- Wider adoption of PIRS could benefit pediatric surgical practice.
- Long-term studies can further validate PIRS safety and efficacy.
Abstract:
Many laparoscopic techniques have been developed to repair inguinal hernia in children using either an intraperitoneal or extraperitoneal approach. Percutaneous internal ring suturing (PIRS) is one of the extracorporeal suture techniques. It could be performed with comparable surgical complication or recurrence rates and excellent cosmetic results. To minimize the perioperative complications, surgical procedures of PIRS can be performed carefully with technical refinements for inguinal hernia repair in children.
