Development of Laparoscopic Closure for Inguinal Hernia in Pediatric Surgery

Pediatric Inguinal Hernia (PIH) is a common problem in children, and high ligation of the patent processus has been its standard of care for years. Laparoscopy, which can be used for precise detection of contra lateral patencies and manage all forms of inguinal hernia with Obvious comestic outcome, has been widely adopted by pediatric surgeons globally. In the past two decades, new techniques expanded and continue to evolve. Although various devices are used and there are a lot of differences in details of the procedures, a trend towards diminishing the use of working ports and working instruments have been noticed. In addition, researches claimed that completely enclosing the hernia defect without peritoneal gaps to avoid simultaneous ligation of innocent tissues between the skin and hernia defect is crucial in pursuing a near-zero recurrence rate. This article provides a brief description of laparoscopic techniques for addressing PIH and discusses the process of the development of laparoscopic closure for inguinal hernia in pediatric surgery.