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Initial Experience with Percutaneous Internal Ring Suturing for Indirect Inguinal Hernia in Pediatric Patients
Cho Hee Kang1, Yea Jeong Kim1, Kap Tae Kim1
1Department of General Surgery, Presbyterian Medical Center, Jeonju, Korea.
Journal of Minimally Invasive Surgery
|May 23, 2022
Summary
Percutaneous internal ring suturing (PIRS) is an effective treatment for pediatric indirect inguinal hernias. This minimally invasive technique demonstrated a short learning curve and no reported complications or recurrences in a small patient cohort.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Indirect inguinal hernias are common in pediatric patients.
- Surgical repair is the standard treatment.
- Minimally invasive techniques are increasingly explored for pediatric hernia repair.
Purpose of the Study:
- To review the experience with percutaneous internal ring suturing (PIRS) for treating indirect inguinal hernias in children.
- To evaluate the safety and efficacy of the PIRS technique in a pediatric population.
Main Methods:
- Retrospective study of 43 pediatric patients undergoing PIRS for indirect inguinal hernia (Jan 2016-Sep 2018).
- Analysis of clinical features, operative details (operating time, complications), and surgical outcomes.
- Inclusion of cases with unilateral and bilateral hernias, with assessment for contralateral patent processus vaginalis.
Main Results:
- Mean operating time was 35 min (unilateral) and 40 min (bilateral).
- Five cases (12%) experienced intraoperative bleeding during needle insertion; two required a second suture.
- Contralateral patent processus vaginalis was identified and closed in 6 cases (14%). No recurrence or postoperative complications were reported after 6-30 months follow-up.
Conclusions:
- Percutaneous internal ring suturing (PIRS) is a viable option for pediatric indirect inguinal hernias.
- The PIRS technique offers advantages including a short learning curve and facilitates detection of contralateral hernias.
- This study found no recurrence or postoperative complications, suggesting a favorable safety profile.
