Laparoscopic Needle Assisted Technique for Repair of Inguinal Hernias in Children

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
  • Distributed in newsletters, featured on our website and social media
  • Peer reviewed

Author: Andre Hebra
Specialties: Pediatric Surgery
Schools: Medical University of South Carolina
0 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 5 (0 votes, average: 0.00 out of 5)
You need to be a registered member to rate this post.


Chris Streck (MUSC)

Aaron Lesher (MUSC)

Robert Cina (MUSC)

Step-by-step demonstration on how to perform the laparoscopic needles assisted repair (LNAR) of inguinal hernias in infants and young children.

This fairly new technique for laparoscopic repair of inguinal hernias in infants and children is now well accepted among many pediatric surgeons. Because of the very small skin incisions, it is associated with minimal pain and has great cosmetic appeal. The operation is indicated in the treatment of inguinal hernias and communicating hydroceles in children less than 12 years of age. Preliminary results reported by the authors have suggested a similar recurrence rate as reported for the open technique. Interestingly, the recurrence rate is lower in small and premature infants compared to open surgery. The authors prefer the use of non-absorbable suture (like Prolene) in order to minimize the risk of recurrence. Our experience has demonstrated that the laparoscopic needle-assisted repair of inguinal hernia is safe with a 4% rate of minor complications. The most common complication is the development of a suture granuloma at the site of the suture placement for closure of the internal inguinal ring. It usually can be treated medically. In rare occasions, it might be necessary to remove the suture. Other less common reported complications include infection, residual hydrocele, hernia recurrence, and injury to the spermatic vessels or vas.


Editor Recruited By: Robert Shamberger, MD

1 reply
  1. Jim Henderson
    Jim Henderson says:

    Dear Andre Habre, Chris Streck, Aaron Leshner and Robert Cina,

    In your opinion can LNAR be performed on select healthy adults with small indirect unilateral inguinal hernias by a trained and qualified general and/or pediatric surgeon? Presumably you consider this progressive and unproven rather than conservative and proven. However, are there more compelling reasons would it be contraindicated in select young and middle age healthy adult males? Of course, all hernia repair techniques have inherent risks. However, do you believe they would be greater in this patient profile? Please reply.

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply