Laparoscopic Needle–Assisted Repair for Pediatric Inguinal Hernia

Abstract

Laparoscopic needle–assisted repair (LNAR) has recently emerged as a safe and effective alternative procedure to manage pediatric inguinal hernia. However, the literature does not address the case of the efficacy of performing the LNAR by trainees or surgeons with no wide experience in laparoscopy. Therefore, the focus of the present study is to present the results of conducting such a procedure by professionals who do not possess such an experience. In a 12-month period, we performed 18 laparoscopic needle–assisted repairs for indirect pediatric inguinal hernias by one surgeon. We have collected and analyzed data concerning operating time, postoperative course and complications, need for analgesia, recurrence, and cosmetic results. No incidents during surgery have been recorded. Fifteen patients underwent laparoscopic surgery. Two contralateral hernias were intraoperatively diagnosed. Mean time of surgery, mean hospital stay, operating time, the need for postoperative analgesia, and recurrence were close to other studies performed by experts. All procedures were completed laparoscopically. The LNAR is a simple, effective, and safe procedure even when performed by trainees or surgeons without large previous experience in laparoscopy.