Single Incision Bilateral Open Herniotomy Versus Laparoscopic Inguinal Herniotomy in Pediatric Inguinal Hernia: A Comparative Study. Single Incision Bilateral Open Herniotomy Versus Laparoscopic Inguinal Herniotomy in Pediatric Inguinal Hernia
Iranian Journal of Pediatric Surgery,
Vol. 12 No. 1 (2026),
20 May 2026
,
Page 59 - 68
https://doi.org/10.22037/irjps.v12i1.51451
Abstract
Introduction: Pediatric inguinal hernia is commonly treated through surgical intervention. Minimally invasive techniques, such as laparoscopic inguinal herniotomy (LIH), are gaining popularity. However, the single incision bilateral open herniotomy (SIBOH) offers an alternative with smaller single incision and potentially similar outcomes. This study compares the safety, efficacy, operative time, and cosmetic outcomes of SIBOH and LIH.
Materials and Methods: A prospective randomized study was conducted involving pediatric patients with bilateral inguinal hernia. Patients were allocated into two groups: Group A underwent SIBOH and Group B underwent LIH. Primary outcomes included operative time, complications, recurrence rate, postoperative pain, and cosmetic satisfaction.
Results: SIBOH demonstrated a significantly shorter operative time (32.4±5.8 minutes) as compared to LIH group (47.9±7.3 minutes) (p<0.001). Complication and recurrence rates were comparable between both groups. Hospital stay was shorter in SIBOH group as compared to laparoscopic group (p< 0.05). Parents reported comparable cosmetic outcomes in both the groups, but differences were not statistically significant. Postoperative pain was similar in both groups.
Conclusion: SIBOH is an effective and safe alternative to LIH for bilateral inguinal hernia in children. It offers shorter operative times with similar outcomes, making it a viable technique where laparoscopic resources are limited.
- Pediatric inguinal hernia
- Single incision open herniotomy
- Laparoscopic inguinal herniotomy
- Bilateral hernia
- Cosmetic outcome
How to Cite
References
1. Nakashima M, Ide K, Kawakami K. Laparoscopic versus open repair for inguinal hernia in children: a retrospective cohort study. Surg Today. 2019; 49:1044–50.
2. Rafailidis V, Varelas S, Apostolopoulou F, Rafailidis D. Nonobliteration of the Processus Vaginalis. J Ultrasound Med. 2016; 35(4): 805–18.
3. Kalantari M, Sabet B, Tabari AK, Esmaeili S. Open versus laparoscopic inguinal hernia repair in children: A systematic review and meta-analysis. Pediatr Surg Int. 2017;33(9):925–35.
4. Hurel R, Bouazzi L, Barbe C, Kianmanesh R, Romain B, Gillion JF, Renard Y; Club-Hernie members. Lichtenstein versus TIPP versus TAPP versus TEP for primary inguinal hernia, a matched propensity score study on the French Club Hernie Registry. Hernia. 2023;27(5):1165-77.
5. Kangwen C, Guihe W. Efficacy of Laparoscopic Percutaneous Extraperitoneal Closure for Unilateral Inguinal Hernia in Children and Significance of Simple Exploration Maneuver for Contralateral Patent Processus Vaginalis: A Retrospective Study. Am Surg. 2018;84(5):732–8.
6. Shalaby R, Ismail M, Abdel- Gawad M, et al. Laparoscopic versus open herniotomy in children: a controlled randomized study. Pediatr Surg Int. 2010;26(2):165–70.
7. Bhat NA, Wani SA, Wani KA, Baba AA, Shera AH, Patnaik R. Modified single-incision open herniotomy: cosmetic and clinical outcomes in children. Afr J Paediatr Surg. 2014;11(3):239–42.
8. Lee Y, Kim J, Baek K, et al. Comparison of open and laparoscopic inguinal hernia repair in pediatric patients: a meta-analysis. J Pediatr Surg. 2016;51(3):522–529.
9. Takehara H, Yakabe S, Natsume N. Complications in pediatric laparoscopic hernia repair. Pediatr Surg Int. 2010;26(4):377–380.
10. Esposito C, Escolino M, Turrà F, et al. Current concepts in the laparoscopic management of pediatric inguinal hernia: a review of the literature. J Laparoendosc Adv Surg Tech A. 2014;24(1):2–8.
11. Chang YT, Lee JY, Lee JY, et al. A prospective randomized study comparing single-incision laparoscopic hernia repair with traditional laparoscopic technique in children. Surg Endosc. 2014;28(10):3044–3048.
12. Koivusalo A, Pakarinen MP, Rintala RJ. Cost-effectiveness of laparoscopic vs open hernia repair in children. Surg Endosc. 2009;23(3):688–692.
13. Alzahem A, AlQurashi M, Al-Mofada S, et al. Laparoscopic versus open inguinal herniotomy in infants and children: a randomized controlled trial. J Pediatr Surg. 2010;45(4):790–796.
- Abstract Viewed: 15 times
- PDF Downloaded: 16 times