Percutaneous internal ring suturing, a simple minimal invasive technique, versus open repair in inguinal hernia in children

Abstract

Background: indirect inguinal hernia is a common pathology in children. Its treatment is surgical with the aim of healing to avoid possible complications arising. Over the past few years, different minimally invasive techniques have been developed in order to displace the classic open herniotomy. However, the bibliography is very heterogeneous, and more studies are needed to come to a consistent conclusion. Objective: Determine which surgical technique, open surgery versus PIRS, has lower recurrence rate in paediatric patients with indirect inguinal hernia. Design: It is a longitudinal, prospective, analytical, randomized, parallel and single-blind study carried out in a single center (University Hospital Dr. Josep Trueta de Girona) for 5 years. Participants: Children of paediatric age, up to 14 years old, who have been referred, by their pediatrician, to the pediatric surgery office of the University Hospital Dr. Josep Trueta de Girona with suspicion of primary indirect inguinal hernia. Methods: from December 2020 to December 2025 all children, whose families have signed informed consent, will have IIH operated on and monitored by the pediatric surgery team until the first year

after surgery and will then continue with annual visits to the pediatrician for the registration of post- surgical recurrences and complications, among others