Selective anterior annuloplasty during inguinal herniotomy in boys: an approach to further reduce hernia recurrence.

Background: Hernia recurrence is one of the most common complications after inguinal herniotomy (IH) in children. We describe a novel approach that involves adding anterior annuloplasty (AAP) during IH for selective high recurrence-risk children.

Objectives: Evaluate the initial safety and effectiveness of selective AAP during IH in boys.