Laparoscopic Ligation of Inguinal Hernia in Girls

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Abstract
Between 1993 and 1997, 28 girls with inguinal hernia were managed laparoscopically at our hospital. Their age ranged between 5 months and 10 years. Clinically, 15 of the hernias were on the right side, 9 were on the left, and 4 were bilateral. At laparoscopy, one of the suspected cases of bilateral hernia had a hernia only on one side. Two patients with a suspected left-sided unilateral hernia and one with a suspected right-sided unilateral hernia were found to have hernias on the contralateral side. All hernial sacs were ligated laparoscopically by applying endoscopic loops around the base of the inverted hernia sac. This procedure proves to be simple, safe, and effective.