Laparoscopic percutaneous extraperitoneal closure compared to open repair for recurrent inguinal hernias in children: A multicenter retrospective study

jpedsurg.org

Laparoscopic percutaneous extraperitoneal closure (LPEC) is a common procedure for pediatric inguinal hernia repair, in which the hernial sac is closed via an extraperitoneal approach by using a special needle. Recurrence of inguinal hernias after repair is rare; therefore, few studies on LPEC for pediatric recurrent inguinal hernias (PRIHs) have been conducted, and all of those have comprised small samples. Consequently, we conducted a multicenter study to describe the surgical outcomes of LPEC for PRIHs (LPEC group) compared with those of open repair (open group).

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Article · Nov 2025 · 1 min read

In brief

This multicenter retrospective study compares laparoscopic percutaneous extraperitoneal closure (LPEC) to traditional open repair for recurrent inguinal hernias in pediatric patients. The research addresses a gap in evidence for managing this rare complication by analyzing surgical outcomes across multiple centers.

LPEC uses extraperitoneal approach with special needle to close hernial sac in pediatric inguinal hernia repair
Recurrence after pediatric inguinal hernia repair is rare, limiting available data on optimal management strategies
Multicenter study compares LPEC versus open repair outcomes for recurrent pediatric inguinal hernias
LPEC may offer minimally invasive alternative to traditional open repair for recurrent cases in children

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