{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T15:03:29Z","timestamp":1789916609022,"version":"4.0.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Multiple techniques have been described for laparoscopic inguinal hernia repair in children. The purpose of this study was to describe our experience using cautery and Endoloops in pediatric female patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective review of pediatric female patients who underwent laparoscopic inguinal hernia repair using cautery and Endoloops at our center. This technique involves establishing laparoscopic access through the umbilicus, everting and cauterizing the hernia sac with a Maryland dissector, and placing two PDS Endoloops at the level of the internal ring. Outcomes included operative time and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We identified 50 female patients (mean age 5.6 years, range 2 months to 17 years) who underwent laparoscopic inguinal hernia repair using cautery and Endoloops from January 2015 to March 2024. The indication for surgery in most patients was a clinical hernia (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 43\/50). One of these was incarcerated and another was a recurrent hernia. Seven other patients underwent ligation of an incidental patent processus vaginalis during laparoscopic appendectomy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4), laparoscopic ovarian detorsion (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), or diagnostic laparoscopy for possible Meckel\u2019s diverticulum (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Median operative time was 30 minutes for unilateral inguinal hernias (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 26\/43) and 33 minutes for bilateral (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 17\/43). None experienced conversion to open procedure, surgical site infection, or recurrence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We conclude that laparoscopic inguinal hernia repair using cautery and Endoloops is safe and effective in pediatric female patients. This technique does not require specialized skills, training, or equipment. We have used this approach for primary repair of clinical hernia, incarcerated hernia, recurrent hernia, and incidental patent processus vaginalis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261460676","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T01:37:17Z","timestamp":1781573837000},"page":"849-853","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Inguinal Hernia Repair in Pediatric Female Patients Using Cautery and Endoloops: Description of Technique and Outcomes"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4294-6836","authenticated-orcid":false,"given":"Hayle","family":"Noh","sequence":"first","affiliation":[{"name":"McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada."},{"name":"Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan","family":"Alansari","sequence":"additional","affiliation":[{"name":"McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada."},{"name":"Division of Pediatric Surgery, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Briatico","sequence":"additional","affiliation":[{"name":"McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada."},{"name":"Division of Pediatric Surgery, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Wei","sequence":"additional","affiliation":[{"name":"McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Mark","family":"Walton","sequence":"additional","affiliation":[{"name":"McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada."},{"name":"Division of Pediatric Surgery, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Livingston","sequence":"additional","affiliation":[{"name":"McMaster Pediatric Surgery Research Collaborative, McMaster University, Hamilton, Ontario, Canada."},{"name":"Division of Pediatric Surgery, McMaster University, Hamilton, Ontario, Canada."},{"name":"Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658863"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znab394"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000000217"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-062510"},{"key":"e_1_3_2_6_1","unstructured":"5.Speck KE Smith A. Pediatric laparoscopic inguinal hernia repair: A review of techniques\u2014A SAGES Wiki Article. 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