Evaluation of One Trocar Needlescopic Assisted Peritoneal Disconnection and Closure in Pediatric Inguinal Hernia Repair

Introduction: Pediatric inguinal hernia is a common congenital anomaly, and herniotomy is the most commonly used method for treatment, including traditional open high ligation or laparoscopic approach.

Aim: Evaluation of feasibility, efficacy, operative time, cosmetic results, recurrence rate and possible complications of one trocar needlescopic assisted peritoneal disconnection and closure using Mediflex® Disposable Suture Grasper Closure Device, homemade long micro-diathermy probe and epidural needle in treatment of pediatric inguinal hernia.

Patient and methods: A prospective clinical trial included 33 cases with 50 inguinal hernias that was done in the Pediatric surgery unit, General Surgery department, Tanta University Hospitals.

Conclusion: Needlescopic assisted peritoneal disconnection and closure for congenital inguinal hernia is safe, simple, easy, effective, less invasive and more cosmetic way for repair. The procedure does not leave visible scars and doesn’t require expensive instruments or advanced laparoscopic suturing skills.