a New Way for Laparoscopic Inguinal Hernia Repair in Pediatric
a New Way for Laparoscopic Inguinal Hernia Repair in Pediatric
laparoscopic hernia sac high-ligation

 -  has a high recurrence rate laparoscopic hernia sac high-ligation and the lateral
 umbilicus ligament covering the hernia opening

 -  The investigators developed a method of laparoscopic hernia repair by applying a new
 concept in hernia repair. The hernia opening was tightened, and hernia opening region
 repaired with a lateral umbilicus ligament in a tension-free manner. This method
 combines the advantages of a secure repair achieved by the open method with the minimal
 invasiveness of the laparoscopic method. The investigators hypothesized that the lateral
 umbilicus ligament covering the internal hernia opening region after the laparoscopic
 purse-string knot would result in lower recurrence and the same operation relative
 complication.
The primary outcome measure was the recurrence rate after surgery, and the secondary outcome
 measures included degree of postoperative pain, the amount of postoperative analgesia,
 procedural duration, number of days to recovery normal activity, surgical complications,
 cosmetic results, and patient satisfaction. The outcome was recorded at the outpatient visits
 10 days, 6 months, 1 year, 3 years and 5 years after the surgery. The cosmetic result was
 scored (unsatisfactory = 0, satisfactory = 1, good = 2, and excellent = 3) by the patients or
 parents, the attending nurse, and the surgeon (maximum points = 9). The patient satisfaction
 was scored similarly (unsatisfactory = 0, satisfactory = 1, good = 2, and excellent = 3). The
 long axis of the testes was measured.
Inclusion Criteria:

 -  unilateral inguinal hernia age between 2 and 17 years the absence of a history of
 abdominal or inguinal operations. Of the male patients, only those with completely
 descended testes were included.

 Exclusion Criteria:

 -  the bilateral cases