Laparoscopic Percutaneous Extra-peritoneal Closure of the Internal Ring With or Without Peritoneal Cauterization

Outcome of Laparoscopic Percutaneous Extra-peritoneal Closure of Internal Ring With or Without Peritoneal Cauterization

This research project aims to evaluate pediatric patients who underwent laparoscopic Percutaneous Internal Ring Suturing (PIRS) for inguinal hernia.

Inguinal hernia repair is the most common procedure performed by pediatric surgery trainees. Open hernia repair (OH) is considered the gold standard approach for children; however, laparoscopic repair (LR) has recently emerged as an alternative option.

Laparoscopic percutaneous extraperitoneal closure of internal inguinal ring (Laparoscopic Percutaneous Internal Ring Suturing) (PIRS) is one of the plainest and most dependable operations for pediatric inguinal hernia.

Inclusion Criteria:

• Pediatric patients (3 months to 12 years) with diagnosed inguinal hernia.
• Underwent Laparoscopic Percutaneous Internal Ring Suturing (PIRS).
• Clear documentation of whether cauterization was performed.
• At least 6 months of postoperative follow-up available.

Exclusion Criteria:

• Recurrent or complicated hernias (incarcerated/strangulated).
• Previous abdominal or pelvic surgery.
• Missing or incomplete surgical records.
• Less than 6 months of follow-up.