{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:45:47Z","timestamp":1787978747811,"version":"build-2784847793"},"reference-count":54,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009827","name":"Alexandria University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009827","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic repair of congenital inguinal hernia (CIH) has evolved with various techniques. Some advocate for sac disconnection alone, while others emphasize additional peritoneal closure or internal ring narrowing to prevent recurrence. This study evaluates the efficacy of laparoscopic sac disconnection alone versus disconnection with iliopubic tract repair (IPTR) for CIH, stratified by internal ring diameter (IRD), analyzing recurrence rates and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study (April 2021- December 2023) included 208 children with CIH in the age range from 3 months to 12 years. Patients were stratified by IRD: Group A (\u2264\u20091\u00a0cm,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009142) underwent sac disconnection alone; Group B (&gt;\u20091\u00a0cm,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200966) received additional IPTR. Outcomes assessed included recurrence rates, operative time, and postoperative complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No hernia recurrences were observed in either group during the one-year follow-up. Group A had significantly shorter operative times (mean: 21.17\u2009\u00b1\u20095.42\u00a0min for unilateral cases) compared to Group B (37.61\u2009\u00b1\u20095.79\u00a0min). Postoperative scrotal edema occurred in 1.4% of Group A patients and 12.1% of Group B patients, but all cases were resolved spontaneously. No intraoperative injuries to the vas deferens or testicular vessels were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Laparoscopic sac disconnection alone is sufficient for CIH with IRD\u2009\u2264\u20091\u00a0cm, offering shorter operative times with excellent outcomes. For larger defects (&gt;\u20091\u00a0cm), IPTR provides durable repair despite longer operative times. This IRD-based algorithm optimizes outcomes while maintaining procedural simplicity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-025-03471-z","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T11:13:19Z","timestamp":1760353999000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic disconnection of the hernial sac: is it enough for the treatment of congenital inguinal hernia in children?"],"prefix":"10.1007","volume":"29","author":[{"given":"Sameh","family":"Shehata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israa","family":"Saad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Abouheba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0933-4846","authenticated-orcid":false,"given":"Mostafa","family":"Zain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"issue":"1","key":"3471_CR1","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1542\/peds.2007-3752","volume":"123","author":"AI Koivusalo","year":"2009","unstructured":"Koivusalo AI, Korpela R, Wirtavuori K, Piiparinen S, Rintala RJ, Pakarinen MP (2009) A single-blinded, randomized comparison of laparoscopic versus open hernia repair in children. Pediatrics 123(1):332\u2013337","journal-title":"Pediatrics"},{"issue":"4","key":"3471_CR2","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/SLE.0000000000000161","volume":"25","author":"S Feng","year":"2015","unstructured":"Feng S, Zhao L, Liao Z, Chen X (2015) Open versus laparoscopic inguinal herniotomy in children: a systematic review and meta-analysis focusing on postoperative complications. Surg Laparosc Endosc Percutan Tech 25(4):275\u2013280","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"4","key":"3471_CR3","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1053\/j.sempedsurg.2016.05.006","volume":"25","author":"C Esposito","year":"2016","unstructured":"Esposito C, Escolino M, Turr\u00e0 F, Roberti A, Cerulo M, Farina A et al (2016) Current concepts in the management of inguinal hernia and hydrocele in pediatric patients in laparoscopic era. Semin Pediatr Surg 25(4):232\u2013240","journal-title":"Semin Pediatr Surg"},{"issue":"3","key":"3471_CR4","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/S0022-3468(99)90490-6","volume":"34","author":"P Montupet","year":"1999","unstructured":"Montupet P, Esposito C (1999) Laparoscopic treatment of congenital inguinal hernia in children. J Pediatr Surg 34(3):420\u2013423","journal-title":"J Pediatr Surg"},{"issue":"10","key":"3471_CR5","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/S0022-3468(98)90483-3","volume":"33","author":"F Schier","year":"1998","unstructured":"Schier F (1998) Laparoscopic herniorrhaphy in girls. J Pediatr Surg 33(10):1495\u20131497","journal-title":"J Pediatr Surg"},{"issue":"5","key":"3471_CR6","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1089\/lap.2006.16.513","volume":"16","author":"D Patkowski","year":"2006","unstructured":"Patkowski D, Czernik J, Chrzan R, Jaworski W, Apozna\u0144ski W (2006) Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children. J Laparoendosc Adv Surg Tech A 16(5):513\u2013517","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"3","key":"3471_CR7","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1089\/lap.2014.0081","volume":"24","author":"DJ Ostlie","year":"2014","unstructured":"Ostlie DJ, Ponsky TA (2014) Technical options of the laparoscopic pediatric inguinal hernia repair. J Laparoendosc Adv Surg Tech A 24(3):194\u2013198","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"12","key":"3471_CR8","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1007\/s00464-004-9008-5","volume":"18","author":"F Becmeur","year":"2004","unstructured":"Becmeur F, Philippe P, Lemandat-Schultz A, Moog R, Grandadam S, Lieber A et al (2004) A continuous series of 96 laparoscopic inguinal hernia repairs in children by a new technique. Surg Endosc 18(12):1738\u20131741","journal-title":"Surg Endosc"},{"issue":"1","key":"3471_CR9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1089\/lap.2008.0329","volume":"20","author":"M Riquelme","year":"2010","unstructured":"Riquelme M, Aranda A, Riquelme-Q M (2010) Laparoscopic pediatric inguinal hernia repair: no ligation, just resection. J Laparoendosc Adv Surg Tech A 20(1):77\u201380","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"3","key":"3471_CR10","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1089\/pei.1997.1.185","volume":"1","author":"MA El-Gohary","year":"1997","unstructured":"El-Gohary MA (1997) Laparoscopic ligation of inguinal hernia in girls. Pediatr Endosurg Innov Tech 1(3):185\u2013188","journal-title":"Pediatr Endosurg Innov Tech"},{"key":"3471_CR11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s42804-024-00217-z","volume":"6","author":"M Elsaedy","year":"2024","unstructured":"Elsaedy M, Shehata M, Almetaher H, Kabbash I, Shehata S (2024) Laparoscopic versus open inguinal hernia repair in pediatric age group: a systematic review and meta-analysis. J Pediatr Endosc Surg 6:1\u201310","journal-title":"J Pediatr Endosc Surg"},{"issue":"12","key":"3471_CR12","first-page":"e51191","volume":"16","author":"DS Almeida","year":"2024","unstructured":"Almeida DS, Medina LHA, Miranda NC, Almeida TS, Mattos LF, Marchi ME et al (2024) Laparoscopy versus open technique for inguinal hernia repair in children: a systematic review and meta-analysis. Cureus 16(12):e51191","journal-title":"Cureus"},{"issue":"9","key":"3471_CR13","doi-asserted-by":"crossref","first-page":"1824","DOI":"10.1016\/j.jpedsurg.2011.04.001","volume":"46","author":"C Yang","year":"2011","unstructured":"Yang C, Zhang H, Pu J, Mei H, Zheng L, Tong Q (2011) Laparoscopic vs open herniorrhaphy in the management of pediatric inguinal hernia: a systemic review and meta-analysis. J Pediatr Surg 46(9):1824\u20131834","journal-title":"J Pediatr Surg"},{"issue":"3","key":"3471_CR14","doi-asserted-by":"crossref","first-page":"1461","DOI":"10.1007\/s00464-016-5139-8","volume":"31","author":"C Esposito","year":"2017","unstructured":"Esposito C, Escolino M, Cortese G, Aprea G, Turr\u00e0 F, Farina A et al (2017) Twenty-year experience with laparoscopic inguinal hernia repair in infants and children: considerations and results on 1833 hernia repairs. Surg Endosc 31(3):1461\u20131468","journal-title":"Surg Endosc"},{"issue":"2","key":"3471_CR15","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.jpedsurg.2024.162056","volume":"60","author":"M Carter","year":"2025","unstructured":"Carter M, Papastefan ST, Tian Y, Hartman SJ, Elman MS, Ungerleider SG et al (2025) A retrospective nationwide comparison of laparoscopic vs open inguinal hernia repair in children. J Pediatr Surg 60(2):267\u2013271","journal-title":"J Pediatr Surg"},{"issue":"2","key":"3471_CR16","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jpurol.2012.01.005","volume":"9","author":"A Khairi","year":"2013","unstructured":"Khairi A, Shehata S, El-Kholi N (2013) Is it necessary to close the peritoneum over the deep inguinal ring during laparoscopic orchidopexy? J Pediatr Urol 9(2):157\u2013160","journal-title":"J Pediatr Urol"},{"issue":"8","key":"3471_CR17","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1089\/lap.2018.0679","volume":"30","author":"AM Elbatarny","year":"2020","unstructured":"Elbatarny AM, Khairallah MG, Elsayed MM, Hashish AA (2020) Laparoscopic repair of pediatric inguinal hernia: disconnection of the hernial sac versus disconnection and peritoneal closure. J Laparoendosc Adv Surg Tech A 30(8):927\u2013934","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"6","key":"3471_CR18","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1097\/00000658-196706000-00006","volume":"165","author":"TB Hubbard Jr","year":"1967","unstructured":"Hubbard TB Jr, Khan MZ, Carag VR Jr, Albites VE, Hricko GM (1967) The pathology of peritoneal repair: its relation to the formation of adhesions. Ann Surg 165(6):908\u2013916","journal-title":"Ann Surg"},{"issue":"220","key":"3471_CR19","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1002\/bjs.18005021904","volume":"50","author":"H Ellis","year":"1962","unstructured":"Ellis H (1962) The aetiology of post-operative abdominal adhesions: an experimental study. Br J Surg 50(220):10\u201316","journal-title":"Br J Surg"},{"issue":"2","key":"3471_CR20","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/path.1700870117","volume":"87","author":"JB Bridges","year":"1964","unstructured":"Bridges JB, Whitting HW (1964) Parietal peritoneal healing in the rat. J Pathol Bacteriol 87(2):123\u2013130","journal-title":"J Pathol Bacteriol"},{"issue":"8","key":"3471_CR21","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1089\/lap.2012.0137","volume":"22","author":"JA Blatnik","year":"2012","unstructured":"Blatnik JA, Harth KC, Krpata DM, Kelly KB, Schomisch SJ, Ponsky TA (2012) Stitch versus scar\u2014evaluation of laparoscopic pediatric inguinal hernia repair: a pilot study in a rabbit model. J Laparoendosc Adv Surg Tech A 22(8):848\u2013851","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"3","key":"3471_CR22","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.jpedsurg.2012.08.003","volume":"48","author":"F Tabrizian","year":"2013","unstructured":"Tabrizian F, Raisolsadat SM, Houshmand B, Yaghubi MA (2013) Assessment of the necessity of sac high ligation in inguinal hernia open surgery among children. J Pediatr Surg 48(3):547\u2013549","journal-title":"J Pediatr Surg"},{"issue":"11","key":"3471_CR23","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1016\/j.jpedsurg.2012.06.026","volume":"47","author":"C Garc\u00eda-Hern\u00e1ndez","year":"2012","unstructured":"Garc\u00eda-Hern\u00e1ndez C, Carvajal-Figueroa L, Suarez-Guti\u00e9rrez R, Landa-Ju\u00e1rez S (2012) Laparoscopic approach for inguinal hernia in children: resection without suture. J Pediatr Surg 47(11):2093\u20132095","journal-title":"J Pediatr Surg"},{"issue":"4","key":"3471_CR24","first-page":"266","volume":"51","author":"R Handa","year":"2005","unstructured":"Handa R, Kale R, Harjai MM (2005) Laparoscopic orchiopexy: is closure of the internal ring necessary? J Postgrad Med 51(4):266\u2013267","journal-title":"J Postgrad Med"},{"issue":"2","key":"3471_CR25","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s10029-012-1031-1","volume":"17","author":"SM Shehata","year":"2013","unstructured":"Shehata SM, El Attar AA, Attia MA, Hassan AM (2013) Laparoscopic herniotomy in children: prospective assessment of tertiary center experience in a developing country. Hernia 17(2):229\u2013234","journal-title":"Hernia"},{"issue":"2","key":"3471_CR26","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/0971-9261.129597","volume":"19","author":"N Pant","year":"2014","unstructured":"Pant N, Aggarwal SK, Ratan SK (2014) Laparoscopic repair of hernia in children: comparison between ligation and nonligation of sac. J Indian Assoc Pediatr Surg 19(2):76\u201379","journal-title":"J Indian Assoc Pediatr Surg"},{"issue":"4","key":"3471_CR27","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1089\/lap.2016.0234","volume":"27","author":"NM Novotny","year":"2017","unstructured":"Novotny NM, Puentes MC, Leopold R, Ortega M, Godoy-Lenz J (2017) The burnia: laparoscopic sutureless inguinal hernia repair in girls. J Laparoendosc Adv Surg Tech A 27(4):430\u2013433","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"6","key":"3471_CR28","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1089\/lap.2017.0273","volume":"28","author":"SM Shehata","year":"2018","unstructured":"Shehata SM, Attia MA, Attar AAE, Ebid AE, Shalaby MM, ElBatarny AM (2018) Algorithm of laparoscopic technique in pediatric inguinal hernia: results from experience of 10 years. J Laparoendosc Adv Surg Tech A 28(6):755\u2013759","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"2","key":"3471_CR29","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1007\/s00464-017-5713-8","volume":"32","author":"A Galv\u00e1n-Monta\u00f1o","year":"2018","unstructured":"Galv\u00e1n-Monta\u00f1o A, Ouddane-Robles PA, Garc\u00eda-Moreno S (2018) Sutureless inguinal hernia repair with creation of a peritoneal lesion in children: a novel laparoscopic technique with a low recurrence rate. Surg Endosc 32(2):638\u2013642","journal-title":"Surg Endosc"},{"issue":"1","key":"3471_CR30","doi-asserted-by":"crossref","first-page":"167","DOI":"10.4081\/pmc.2019.167","volume":"41","author":"A Marte","year":"2019","unstructured":"Marte A, De Rosa L, Pintozzi L, Esposito V (2019) Toward sutureless laparoscopic inguinal hernia repair in children? Pediatr Med Chir 41(1):167","journal-title":"Pediatr Med Chir"},{"issue":"1","key":"3471_CR31","doi-asserted-by":"crossref","first-page":"73","DOI":"10.11648\/j.ijcu.20200402.19","volume":"4","author":"W Bukowski","year":"2020","unstructured":"Bukowski W, Bukowski T (2020) Sutureless laparoscopic inguinal hernia repair in children: don\u2019t risk injury with sutures. Int J Clin Urol 4(1):73\u201377","journal-title":"Int J Clin Urol"},{"issue":"4","key":"3471_CR32","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s42804-022-00156-7","volume":"4","author":"K Elsayem","year":"2022","unstructured":"Elsayem K, Abdelmotaal YS, Kaddah S, Elbarbary MM, Taher H (2022) Sutureless versus purse-string with complete sac dissection in laparoscopic inguinal hernia repair in children: a randomized clinical trial. J Pediatr Endosc Surg 4(4):173\u2013176","journal-title":"J Pediatr Endosc Surg"},{"issue":"8","key":"3471_CR33","doi-asserted-by":"crossref","first-page":"2327","DOI":"10.1007\/s13304-023-01566-9","volume":"75","author":"R Shalaby","year":"2023","unstructured":"Shalaby R, Abdelmaboud MA, Daboos MA, Mohamed Y, Helal AA, Gamman I (2023) Needlescopic sutureless repair of congenital inguinal hernia: a randomized controlled study. Update Surg 75(8):2327\u20132333","journal-title":"Update Surg"},{"issue":"2","key":"3471_CR34","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1590\/S1679-45082013000200009","volume":"11","author":"P Kassab","year":"2013","unstructured":"Kassab P, Franciulli EF, Wroclawski CK, Ilias EJ, Castro OAP, Malheiros CA (2013) Meshless treatment of open inguinal hernia repair: a prospective study. Einstein (Sao Paulo) 11(2):186\u2013189","journal-title":"Einstein (Sao Paulo)"},{"issue":"5","key":"3471_CR35","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/00019509-199710000-00003","volume":"7","author":"P Renzulli","year":"1997","unstructured":"Renzulli P, Frei E, Sch\u00e4fer M, Werlen S, Wegm\u00fcller H, Kr\u00e4henb\u00fchl L (1997) Preoperative Nyhus classification of inguinal hernias and type-related individual hernia repair: a case for diagnostic laparoscopy. Surg Laparosc Endosc 7(5):373\u2013377","journal-title":"Surg Laparosc Endosc"},{"issue":"6","key":"3471_CR36","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.jpurol.2015.09.004","volume":"11","author":"V Mouravas","year":"2015","unstructured":"Mouravas V, Sfoungaris DK (2015) Shouldn\u2019t the laparoscopic operation for inguinal hernia repair in children be some steps closer to the open procedure? J Pediatr Urol 11(6):373\u2013374","journal-title":"J Pediatr Urol"},{"issue":"6","key":"3471_CR37","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1007\/s10029-018-1816-y","volume":"22","author":"S Shehata","year":"2018","unstructured":"Shehata S, Wella HL, Abouheba MA, Elrouby A (2018) Pediatric inguinal hernias, are they all the same? A proposed pediatric hernia classification and tailored treatment. Hernia 22(6):941\u2013946","journal-title":"Hernia"},{"issue":"Suppl 1","key":"3471_CR38","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1016\/j.jviscsurg.2018.04.008","volume":"155","author":"O Bouchot","year":"2018","unstructured":"Bouchot O, Branchereau J, Perrouin-Verbe MA (2018) Influence of inguinal hernia repair on male fertility. J Visc Surg 155(Suppl 1):S37\u2013S40","journal-title":"J Visc Surg"},{"issue":"2","key":"3471_CR39","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1089\/10926410152403147","volume":"5","author":"M Endo","year":"2001","unstructured":"Endo M, Ukiyama E (2001) Laparoscopic closure of patent processus vaginalis in girls with inguinal hernia using a specially devised suture needle. Pediatr Endosurg Innov Tech 5(2):187\u2013191","journal-title":"Pediatr Endosurg Innov Tech"},{"issue":"6","key":"3471_CR40","doi-asserted-by":"crossref","first-page":"4321","DOI":"10.1007\/s00464-021-08776-5","volume":"36","author":"S Lee","year":"2022","unstructured":"Lee S (2022) Laparoscopic iliopubic tract repair to treat recurrent pediatric inguinal hernia. Surg Endosc 36(6):4321\u20134326","journal-title":"Surg Endosc"},{"issue":"4","key":"3471_CR41","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s10029-018-1840-y","volume":"23","author":"S Lee","year":"2019","unstructured":"Lee S, Park PJ (2019) Laparoscopic reoperation for pediatric recurrent inguinal hernia after previous laparoscopic repair. Hernia 23(4):663\u2013669","journal-title":"Hernia"},{"issue":"1","key":"3471_CR42","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1007\/s00464-020-07382-1","volume":"35","author":"S Lee","year":"2021","unstructured":"Lee S, Park PJ (2021) Adding iliopubic tract repair to high ligation reduces recurrence risk in pediatric laparoscopic transabdominal inguinal hernia repair. Surg Endosc 35(1):216\u2013222","journal-title":"Surg Endosc"},{"issue":"4","key":"3471_CR43","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1007\/s10029-018-1745-9","volume":"22","author":"S Lee","year":"2018","unstructured":"Lee S (2018) Benefits of laparoscopic posterior wall suture repair in treating adolescent indirect inguinal hernias. Hernia 22(4):653\u2013659","journal-title":"Hernia"},{"issue":"4","key":"3471_CR44","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1007\/s10029-014-1327-4","volume":"19","author":"YC Tsai","year":"2015","unstructured":"Tsai YC, Lin CD, Chueh SC (2015) Technical refinement of mini-laparoscopic hernia repair in infants and children. Hernia 19(4):599\u2013604","journal-title":"Hernia"},{"issue":"4","key":"3471_CR45","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1007\/s10029-015-1396-z","volume":"19","author":"W Reinpold","year":"2015","unstructured":"Reinpold W, Schroeder AD, Schroeder M, Berger C, Rohr M, Wehrenberg U (2015) Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: consequences for prevention and treatment of chronic inguinodynia. Hernia 19(4):539\u2013548","journal-title":"Hernia"},{"issue":"2","key":"3471_CR46","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s10029-010-0771-z","volume":"15","author":"G Chan","year":"2011","unstructured":"Chan G, Chan CK (2011) The characteristics of inguinal hernia recurrence in the modern era and the long-term outcomes after re-operation. Hernia 15(2):193\u2013199","journal-title":"Hernia"},{"issue":"12","key":"3471_CR47","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.1016\/j.jpedsurg.2004.08.011","volume":"39","author":"T Iwanaka","year":"2004","unstructured":"Iwanaka T, Uchida H, Kawashima H, Nishi A, Kudou S, Satake R (2004) Complications of laparoscopic surgery in neonates and small infants. J Pediatr Surg 39(12):1838\u20131841","journal-title":"J Pediatr Surg"},{"issue":"6","key":"3471_CR48","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1055\/s-0031-1291181","volume":"21","author":"AA Wheeler","year":"2011","unstructured":"Wheeler AA, Matz ST, Schmidt S, Pimpalwar A (2011) Laparoscopic inguinal hernia repair in children with transperitoneal division of the hernia sac and proximal purse-string closure of peritoneum: our modified new approach. Eur J Pediatr Surg 21(6):381\u2013385","journal-title":"Eur J Pediatr Surg"},{"issue":"5","key":"3471_CR49","doi-asserted-by":"crossref","first-page":"275.e1","DOI":"10.1016\/j.jpurol.2015.04.029","volume":"11","author":"GM Grimsby","year":"2015","unstructured":"Grimsby GM, Keays MA, Villanueva C, Bush NC, Snodgrass WT, Gargollo PC et al (2015) Non-absorbable sutures are associated with lower recurrence rates in laparoscopic percutaneous inguinal hernia ligation. J Pediatr Urol 11(5):275.e1-275.e4","journal-title":"J Pediatr Urol"},{"issue":"3","key":"3471_CR50","doi-asserted-by":"crossref","first-page":"272e1","DOI":"10.1016\/j.jpurol.2018.02.015","volume":"14","author":"Van Batavia","year":"2018","unstructured":"Van Batavia JP, Tong C, Chu DI, Kawal T, Srinivasan AK (2018) Laparoscopic inguinal hernia repair by modified peritoneal leaflet closure: description and initial results in children. J Pediatr Urol 14(3):272e1\u2013272e5","journal-title":"J Pediatr Urol"},{"issue":"4","key":"3471_CR51","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/01.XPS.0000481344.06100.70","volume":"12","author":"A Oshiba","year":"2016","unstructured":"Oshiba A, Ashour K, Aboheba M, Shehata S, Shalaby R (2016) Comparative study between purse-string suture and peritoneal disconnection with ligation techniques in the laparoscopic repair of inguinal hernia in infants and children. Ann Pediatr Surg 12(4):137\u2013141","journal-title":"Ann Pediatr Surg"},{"issue":"1","key":"3471_CR52","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s10029-019-01941-9","volume":"24","author":"SA van Steensel","year":"2020","unstructured":"van Steensel SA, van den Hil LCL, Bloemen A, Gijbels MJ, Breukink SO, Melenhorst J et al (2020) Prevention of incisional hernia using different suture materials for closing the abdominal wall: a comparison of PDS, Vicryl and Prolene in a rat model. Hernia 24(1):67\u201378","journal-title":"Hernia"},{"issue":"8","key":"3471_CR53","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1023\/B:EJEP.0000036568.02655.f8","volume":"19","author":"V Kristman","year":"2004","unstructured":"Kristman V, Manno M, C\u00f4t\u00e9 P (2004) Loss to follow-up in cohort studies: how much is too much? Eur J Epidemiol 19(8):751\u2013760","journal-title":"Eur J Epidemiol"},{"issue":"10","key":"3471_CR54","doi-asserted-by":"crossref","first-page":"2138","DOI":"10.1016\/j.jpedsurg.2019.01.064","volume":"54","author":"AJ Chong","year":"2019","unstructured":"Chong AJ, Fevrier HB, Herrinton LJ (2019) Long-term follow-up of pediatric open and laparoscopic inguinal hernia repair. J Pediatr Surg 54(10):2138\u20132144","journal-title":"J Pediatr Surg"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-025-03471-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-025-03471-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-025-03471-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T15:33:20Z","timestamp":1770132800000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-025-03471-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,13]]},"references-count":54,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3471"],"URL":"https:\/\/doi.org\/10.1007\/s10029-025-03471-z","relation":{},"ISSN":["1248-9204"],"issn-type":[{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,13]]},"assertion":[{"value":"6 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no conflicts of interest related to this work. No financial or material support was received from commercial entities for the development of the handcrafted retrieval pouch described in this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This research was performed in accordance with the Declaration of Helsinki, and it was approved by the ethical committee of the Alexandria Faculty of Medicine.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Written informed consent was obtained from the legal guardians of all participating pediatric patients prior to their inclusion in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}],"article-number":"292"}}