Laparoscopic herniorrhaphy combined ligation of the hernial sac and suturation of the internal ring in children with indirect inguinal hernias.

Objective: To develop and evaluate the laparoscopic herniorrhaphy combined ligation of the hernial sac and suturation of the internal ring in children with indirect inguinal hernias.

Methods: Fifty-one indirect hernias in consecutive 41 children with indirect hernias underwent the herniorrhaphy from January 2003 to August 2005. The general information, operating time, postoperative duration in hospital, duration return to normal activity, operative faults, and complications were collected.

Results: No recurrence was found in the whole group of the patients during 1 month to 32 months follow-ups, 1 case complicated with postoperative hydrocele and 3 cases with inguinal pain.

Conclusions: The laparoscopic procedure combined ligation of the hernial sac and suturation of the internal ring is a brand new, feasible, reliable, and efficient herniorrhaphy for pediatric inguinal indirect hernias.