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.

Author Biographies

Pedro Lucas Borges Souza

Centro Universitário de Goiatuba-Unicerrado.

 

Beatriz Muniz Barbosa Zuza

Centro Universitário de Goiatuba-Unicerrado.

Isabela Felipe Ribeiro

Centro Universitário de Goiatuba-Unicerrado.

Camila da Silva Ruiz

Centro Universitário de Goiatuba-Unicerrado.

Tharsila dos Santos Abreu

Centro Universitário de Goiatuba-Unicerrado.

Victor Edhuardo Pádua Fernandes

São Leopoldo Mandic Araras.

Maria Eduarda Martins Oliveira Saint-Clair

São Leopoldo Mandic Araras.

Kelly Cristiene de Freitas Borges

Centro Universitário de Goiatuba-Unicerrado.

References

BARROSO, C.; ETLINGER, P.; ALVES, A. L. et al. Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children. Frontiers in Pediatrics; v. 5, p. 207, 2017. DOI: https://doi.org/10.3389/fped.2017.00207

FINN, D.; WILHELM, S.; GODOY-LENZ, J.; NOVOTNY, N. M. Medium-Term Outcomes of the Godoy Burnia Repair: Durability of a Sutureless Laparoscopic Inguinal Hernia Repair in Girls. J Laparoendosc Adv Surg Tech A., v. 34, n. 1, p. 92-96, jan. 2024. Epub 2023 Sep 25. PMID: 37751199 DOI: https://doi.org/10.1089/lap.2023.0266 DOI: https://doi.org/10.1089/lap.2023.0266

GALVÁN MONTAÑO, A.; OUDDANE ROBLES, P. M. A.; GARCÍA MORENO, S. Sutureless inguinal hernia repair with creation of a peritoneal lesion in children: a novel laparoscopic technique with a low recurrence rate. Surg Endosc., v. 32, n. 2, p. 638-642, feb. 2018. Epub 2017 Jul 14. PMID: 28710573 DOI: https://doi.org/10.1007/s00464-017-5713-8 DOI: https://doi.org/10.1007/s00464-017-5713-8

MARTE, A.; DE ROSA, L.; PINTOZZI, L.; ESPOSITO, V. Toward sutureless laparoscopic inguinal hernia repair in children? Pediatr Med Chir., v. 41, n. 1, 19 mar. 2019. PMID: 30896137 DOI: https://doi.org/10.4081/pmc.2019.167 DOI: https://doi.org/10.4081/pmc.2019.167

NOVOTNY, N. M.; PUENTES, M. C.; LEOPOLD, R.; ORTEGA, M.; GODOY-LENZ, J. The Burnia: Laparoscopic Sutureless Inguinal Hernia Repair in Girls. J Laparoendosc Adv Surg Tech A., v. 27, n. 4, p. 430-433, apr. 2017. Epub 2017 Mar 30. PMID: 28358588 DOI: https://doi.org/10.1089/lap.2016.0234 DOI: https://doi.org/10.1089/lap.2016.0234

RIQUELME, M.; ARANDA, A.; RIQUELME, Q. M. Laparoscopic pediatric inguinal hernia repair: no ligation, just resection. J Laparoendosc Adv Surg Tech A., v. 20, n. 1, p. :77-80, feb. 2010. PMID: 19489678 DOI: https://doi.org/10.1089/lap.2008.0329 DOI: https://doi.org/10.1089/lap.2008.0329

SARANGA BHARATHI, R.; ARORA, M,; BASKARAN, V. Minimal access surgery of pediatric inguinal hernias: a review. Surg Endosc., v. 22, n. 8, p. 1751-62, aug. 2008. Epub 2008 Apr 9. PMID: 18398652 DOI: https://doi.org/10.1007/s00464-008-9846-7 DOI: https://doi.org/10.1007/s00464-008-9846-7

How to Cite

Borges Souza, P. L., Barbosa Zuza, B. M., Felipe Ribeiro, I. ., da Silva Ruiz, C. ., dos Santos Abreu, T. ., Pádua Fernandes, V. E. ., Martins Oliveira Saint-Clair, M. E. ., & de Freitas Borges, K. C. . (2025). MINIMALLY INVASIVE TECHNIQUES FOR PEDIATRIC INGUINAL HERNIAS - EXPLORING SUTURELESS LAPAROSCOPIC REPAIRS: A LITERATURE REVIEW. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 6(2), e626166. https://doi.org/10.47820/recima21.v6i2.6166