MINIMALLY INVASIVE TECHNIQUES FOR PEDIATRIC INGUINAL HERNIAS - EXPLORING SUTURELESS LAPAROSCOPIC REPAIRS: A LITERATURE REVIEW

Abstract

Laparoscopic repair of inguinal hernias in children has gained prominence due to its safety and efficacy, becoming one of the preferred treatments in medical literature. This technique offers advantages such as the possibility of correcting contralateral hernias in the same procedure and an almost complete reduction in recurrence rates. However, the lack of standardization in laparoscopic approaches remains a challenge, and the debate over the efficacy of suturing versus peritoneal sealing is still ongoing. Objective: This study aims to analyze minimally invasive laparoscopic techniques for the treatment of pediatric inguinal hernias, with an emphasis on sutureless repairs, assessing their effectiveness, safety, and impact on reducing complications. Methods: A literature review was conducted using articles published in recent years, selected from PubMed, Scielo, Embase, and MedLine databases, based on specific inclusion and exclusion criteria. A total of six articles were included in the analysis. Results and Discussion: The sutureless laparoscopic technique for pediatric inguinal hernia repair has proven effective, with a low recurrence rate and fast recovery. Studies indicate benefits such as reduced complication risk, fewer visible scars, and promising long-term outcomes. However, standardization and continuous training are essential to ensure its universal clinical success. Conclusion: Sutureless laparoscopic repair is a safe and effective alternative for the treatment of pediatric inguinal hernias. Despite the promising results, further studies and specialized training are necessary to confirm the durability of outcomes and facilitate the widespread adoption of this technique.