Suture’s Loop Grasping Method in Laparoscopic Percutaneous Extraperitoneal Closure for Inguinal Hernia in Boys

Abstract

Purpose: We investigated the benefit of the suture’s loop grasping method to reduce the risk of injury to the ductus deferens, artery and vein for inguinal hernia in boys when we used Lapa-Her-Closure^TM several times during laparoscopic percutaneous extraperitoneal closure (LPEC).
Methods: We can perform double ligations in a single procedure for inguinal hernia by holding a suture’s loop with Lapa-Her-Closure^TM. Thirteen boys with inguinal hernia underwent LPEC by this method from March to October 2015.
Results: The median operative duration of LPEC by this method was 31.5 min, and this was almost the same as that of the conventional LPEC. We experienced the cutting of a suture once, but were able to ligate it with another suture. It was free of surgical complications such as wound infection or recurrence associated with this method.
Conclusions: This method is very useful because it reduces the risk of organ injury and avoids the extension of the operative duration of LPEC.