- Laparoscopic Inguinal Hernia Repair in Female Pediatric Patients
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Joong Kee Youn
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J Surg Innov Educ. 2025;2(2):35-38. Published online December 19, 2025
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DOI: https://doi.org/10.69474/jsie.2025.00325
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 Abstract
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- Laparoscopic inguinal hernia repair (LIHR) has become a widely adopted surgical approach for pediatric inguinal hernia because it offers superior visualization and enables simultaneous assessment of the contralateral side. An 8-month-old female infant presented with a spontaneously reducing bulge in the right inguinal region, most noticeable during diaper changes. Physical examination revealed an easily reducible inguinal mass that was palpably firm and spherical, raising strong suspicion for ovarian inclusion. A positive silk glove sign was also identified on the contralateral side. Under general anesthesia, a three-port laparoscopic technique was used, consisting of a 5-mm umbilical port and two 3-mm working ports. The peritoneum and gubernaculum were carefully dissected from surrounding structures using electrocautery before sac closure, a step performed to minimize the risk of recurrence. Both the symptomatic right hernia sac and the asymptomatic contralateral patent processus vaginalis, which was visually confirmed intraoperatively, were closed using an intracorporeal purse-string high ligation with absorbable sutures. Three-port LIHR with meticulous dissection of the peritoneum and gubernaculum represents an effective and definitive technique for pediatric inguinal hernia repair. This approach allows simultaneous bilateral repair and is associated with excellent postoperative recovery, supporting its continued use as a primary surgical method.
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