Journal of Surgical Innovation and Education

Laparoscopic Inguinal Hernia Repair in Female Pediatric Patients: Joong Kee Youn; J Surg Innov Educ. 2025;2(2):35-38. Published online December 19, 2025; DOI: https://doi.org/10.69474/jsie.2025.00325

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Abstract PDF: 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.

How to Perform Single-Incision Laparoscopic Totally Extraperitoneal Hernia Repair: Moon Jin Kim, Ji Hoon Kim, Ju Myung Song, Chae Dong Lim; J Surg Innov Educ. 2025;2(1):14-18. Published online June 26, 2025; DOI: https://doi.org/10.69474/jsie.2025.00059

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Abstract PDF: Surgery for inguinal hernia has made significant progress over a period of more than a century. The advent of minimally invasive techniques prompted further innovations. Among these, single-incision surgery offers significant advantages in creating the preperitoneal space. Therefore, it is essential for surgeons to understand and be able to perform single-incision laparoscopic totally extraperitoneal (SIL-TEP) hernia repair. This article presents a detailed description of the surgical technique for SIL-TEP.

A Practical Guide to Robotic Transabdominal Preperitoneal Repair for Inguinal Hernia: Sungwoo Jung, Hyung Soon Lee; J Surg Innov Educ. 2025;2(1):1-4. Published online June 16, 2025; DOI: https://doi.org/10.69474/jsie.2025.00052

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Robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair offers enhanced visualization, ergonomic comfort, and improved instrument control compared to conventional laparoscopy. Although laparoscopic transabdominal preperitoneal repair has known benefits, its adoption remains limited due to technical challenges and a steep learning curve. The robotic platform addresses these limitations, making it well-suited for safe, precise dissection in the preperitoneal space. This article presents a practical, step-by-step guide to R-TAPP, highlighting key anatomical landmarks, standardized dissection techniques, and tension-free mesh placement without fixation.

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Da Vinci Xi versus laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernia: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials
Wajahat Mirza, Mehak Ejaz Khan, Hania Iqbal, Alishbah Khan, Hadi Mohammad Khan, Hamza Nasir Chatha, Eshan Ahmad, Sundus Dadan, Abdul Rafeh Awan, Muhammad Ahmad Nadeem
Journal of Robotic Surgery.2025;[Epub] CrossRef

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