Causes of recurrence of paediatric inguinal hernia after single-port laparoscopic closure

ConclusionThe main cause of recurrence is improper ligation. Tension-free and complete PIH ligation are critical to the success of surgery, which requires avoiding the peritoneum skip area and the subcutaneous and muscular tissues. Redo-laparoscopic surgery was suitable for the treatment of recurrent inguinal hernia (RIH). For giant hernias, direct ligation of the internal ring incorporating the medial umbilical ligament (DIRIM) may be needed.
Source: Pediatric Surgery International - Category: Surgery Source Type: research