Surgery for inguinal hernia is commonly performed in children. Traditional approach is open herniotomy. However, numerous minimal invasive methods are evolving with the same or low complication and recurrence rates. Percutaneous internal ring suturing (PIRS) under vision is a minimal invasive technique which is simple, effective, remarkably cosmetic, economical, easy to learn and reproduce with short operative time, and helpful in identifying occult contralateral hernia. This procedure was performed first time in our secondary care set-up with gratifying results for the patient, parents, and the operating team.
Thomas DT, Göcmen KB, Tulgar S, Boga I. Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: experience with 250 cases. J Pediatr Surg 2016 Aug;51(8):1330-1335.
Wolak PK, Patkowski D. Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique—own experience. Wideochir Inne Tech Maloinwazyjne 2014 Mar;9(1):53-58.
Alzahem A. Laparoscopic versus open inguinal herniotomy in infants and children: a meta-analysis. Pediatr Surg Int 2011 Jun;27(6):605-612.
Bharathi RS, Dabas AK, Arora M, Baskaran V. Laparoscopic ligation of internal ring-three ports versus single-port technique: are working ports necessary? J Laparoendosc Adv Surg Tech A 2008 Dec;18(6):891-894.
Kara O, Yildiz A, Toydemir HE, Gökyiðit FM, Akýn M, Karadað ÇA, Sever N, Dokucu AI. Does percutaneous internal ring suturing contain risk of ilioinguinal nerve entrapment? Pediatr Surg Int 2015 May;31(5):485-491.