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Year : 2020  |  Volume : 33  |  Issue : 2  |  Page : 713-716

Laparoscopic inguinal hernia repair in girls using the percutaneous internal ring suturing technique – our own experience

Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Aditya P Singh
M Ch in Pediatric Surgery, Near the Mali Hostel, Main Bali Road, Falna, Pali 306116, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_306_18

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Objective We evaluate d the usefulness of the percutaneous internal ring suturing (PIRS) technique in girls only. Background PIRS is a percutaneous closure of the internal inguinal ring under the control of a telescope/laparoscope placed through the umbilicus. Material and methods Thirty girls underwent surgery using this method in our institution between 2016 and 2017. We used telescope (3 mm, 0°), spinal needle (20 G), and nonabsorbable polypropylene 3-0 suture. The insufflation pressure in the peritoneal cavity was maintained at 8–10 mmHg. Results We selected the isolated cases of the inguinal hernia in only girls. There was no need of conversion to open surgery in our study. The recurrence was seen in two (6.6%) cases. These were treated by open herniotomy. We did follow-up with local clinical examination only. Conclusion PIRS technique is an alternative for the open inguinal surgery. It is effective and minimally invasive surgery and without visible scar. It is also useful to detect the other abnormalities and can perform other procedure in same session such as contralateral inguinal hernia and umbilical hernia.

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