{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T23:46:29Z","timestamp":1793835989136,"version":"4.6.1"},"reference-count":35,"publisher":"Walter de Gruyter GmbH","issue":"2","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>After more than a decade, an accurate description of the current state of pediatric inguinal hernia repair still an issue of contention. Improvement of techniques together with patient-entered intervention that account for the experiences related to individual disease characteristics have become an important factor of which the surgeon must be aware. Therefore, the aim of this study is to analyze a potential treatment for metachronous contralateral inguinal hernia (MCIH) in children during laparoscopic assisted percutaneous internal inguinal ring suturing (PIRS). In a prospective clinical study, carried out at the University Clinic for Pediatric Surgery in Skopje, Republic of North Macedonia, we analyzed the data from 49 female children, aged 1-14 years old, with clinically diagnosed congenital inguinal hernia treated via PIRS. The position of hernias on the right side was 29 (59.2%) on the left side was 19 (38.8%) and on both sides was 1 (2.0%). With intraoperative assessment, it was determined that in 33 (67.3%) participants there was no presence of a hidden hernia, while in 16 (32.7%), there was indeed the presence of a hidden hernia. Of the hidden hernias determined laparoscopically [16 (100%)], 8 (50%) were left and right hidden hernias, all treated laparoscopically. The PIRS technique is a procedure where the basic advanced treatment is exploration. This also included the adequate treatment of other pathologies, such as the prophylactic closure of a contralateral patent processus vaginalis with simultaneous treatment as there is the potential for hernia in future, therefore reducing the number of metachronous inguinal hernias.<\/jats:p>","DOI":"10.2478\/prilozi-2022-0020","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T14:07:05Z","timestamp":1657721225000},"page":"69-75","source":"Crossref","is-referenced-by-count":5,"title":["Benefits of Contralateral Patent Processus Vaginalis Closure During Laparoscopic Surgery for Inguinal Hernia in Female Children"],"prefix":"10.2478","volume":"43","author":[{"given":"Toni","family":"Risteski","sequence":"first","affiliation":[{"name":"University Clinic for Pediatric Surgery , Faculty of Medicine , Ss. Cyril and Methodius, University in Skopje , RN Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaban","family":"Memeti","sequence":"additional","affiliation":[{"name":"University Clinic for Pediatric Surgery , Faculty of Medicine , Ss. Cyril and Methodius, University in Skopje , RN Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2022,7,13]]},"reference":[{"key":"2026071214263627960_j_prilozi-2022-0020_ref_001","doi-asserted-by":"crossref","unstructured":"1. Huang FH, Cheng PL, Hou WH, Duh YC. Laparoscopic Hernia Repair with the Extraperitoneal Approach versus Open Hernia Repair in Pediatric Inguinal Hernia: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2022 Jan; 11(2): 321.10.3390\/jcm11020321878126735054015","DOI":"10.3390\/jcm11020321"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_002","doi-asserted-by":"crossref","unstructured":"2. Kara YA, Ya\u011f\u0131z B, Balc\u0131 \u00d6, Karaman A, \u00d6zg\u00fcner \u0130F, Karaman \u0130. Comparison of Open Repair and Laparoscopic Percutaneous Internal Ring Suturing Method in Repairing Inguinal Hernia in Children. Cureus. 2021 Apr 2; 13(4).10.7759\/cureus.14262809312433959445","DOI":"10.7759\/cureus.14262"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_003","doi-asserted-by":"crossref","unstructured":"3. Fr\u00fdbov\u00e1 B, Tr\u010dka J, Dotla\u010dil V, Po\u0161 L, Patkowski D, Rygl M. Laparoscopic inguinal hernia repair in children via PIRS (percutaneous internal ring suturing). Rozhledy v chirurgii: mesicnik Ceskoslovenske chirurgicke spolecnosti. 2020 Jan 1; 99(6): 277\u201381.10.33699\/PIS.2020.99.6.277-28132736483","DOI":"10.33699\/PIS.2020.99.6.277-281"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_004","doi-asserted-by":"crossref","unstructured":"4. Helal AAE. Laparoscopic single instrument closure of inguinal hernia in female children: A novel technique. J Pediatr Surg. 2015; 50(9): 1613\u20136.10.1016\/j.jpedsurg.2015.05.00326095164","DOI":"10.1016\/j.jpedsurg.2015.05.003"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_005","doi-asserted-by":"crossref","unstructured":"5. Kumar VHS, Clive J, Rosenkrantz TS, Bourque MD, Hussain N. Inguinal hernia in preterm infants (\u226432-week gestation). Pediatr Surg Int. 2002; 18(2\u20133): 147\u201352.10.1007\/s00383010063111956782","DOI":"10.1007\/s003830100631"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_006","doi-asserted-by":"crossref","unstructured":"6. Lau ST, Lee YH, Caty MG. Current management of hernias and hydroceles. Semin Pediatr Surg. 2007; 16(1): 50\u20137.10.1053\/j.sempedsurg.2006.10.00717210483","DOI":"10.1053\/j.sempedsurg.2006.10.007"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_007","doi-asserted-by":"crossref","unstructured":"7. Rao R, Smith M, Markel TA, Gray BW, Landman MP. Modified percutaneous internal ring suturing with peritoneal injury in children: matched comparison to open hernia repair. Surgical Endoscopy. 2021 Feb; 35(2): 854\u20139.10.1007\/s00464-020-07457-z32076861","DOI":"10.1007\/s00464-020-07457-z"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_008","doi-asserted-by":"crossref","unstructured":"8. Patkowski D, Czernik J, Chrzan R, Jaworski W, Apozna\u0144ski W. Percutaneous Internal Ring Suturing: A Simple Minimally Invasive Technique for Inguinal Hernia Repair in Children. J Laparoendosc Adv Surg Tech [Internet]. 2006; 16(5): 513\u20137.10.1089\/lap.2006.16.51317004880","DOI":"10.1089\/lap.2006.16.513"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_009","doi-asserted-by":"crossref","unstructured":"9. Danielson J, Pakkasj\u00e4rvi N, H\u00f6gberg N. Percutaneous hernia repair in children: Safe to introduce. Scandinavian Journal of Surgery. 2021 Sep; 110(3): 380\u20135.10.1177\/145749692091815132693714","DOI":"10.1177\/1457496920918151"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_010","doi-asserted-by":"crossref","unstructured":"10. Lu J, Yu C, Zhao J, Wu S. The Incidence of Recurrence after Laparoscopic Versus Open Inguinal Hernia Repair in Children: a Systematic Review and Meta-Analysis. Indian Journal of Surgery. 2021 Jun; 83(3): 625\u201333.10.1007\/s12262-020-02457-8","DOI":"10.1007\/s12262-020-02457-8"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_011","doi-asserted-by":"crossref","unstructured":"11. Wang D, Yang P, Yang L, Jin S, Yang P, Chen Q, Tang X. Comparison of laparoscopic percutaneous extraperitoneal closure and laparoscopic intracorporeal suture in pediatric hernia repair. Journal of Pediatric Surgery. 2021 Oct 1; 56(10): 1894\u20139.10.1016\/j.jpedsurg.2020.11.022","DOI":"10.1016\/j.jpedsurg.2020.11.022"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_012","doi-asserted-by":"crossref","unstructured":"12. Hayashi K, Ishimaru T, Kawashima H. Reoperation after laparoscopic inguinal hernia repair in children: a retrospective review. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2019 Oct 1; 29(10): 1264\u201370.10.1089\/lap.2019.0191","DOI":"10.1089\/lap.2019.0191"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_013","doi-asserted-by":"crossref","unstructured":"13. Ergun E, Yagiz B, Kara YA, Abay AN, Balci O, Eryilmaz S, Ozguner IF, Karaman A, Karaman I. Comparison of laparoscopic percutaneous internal ring suturing method and open inguinal hernia repair in children under 3 months of age. Turkish Journal of Surgery. 2021 Sep 1; 37(3): 215\u201322.10.47717\/turkjsurg.2021.5157","DOI":"10.47717\/turkjsurg.2021.5157"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_014","doi-asserted-by":"crossref","unstructured":"14. Bahadir K, Sertt\u00fcrk F, Ergun E, Gollu G, Ege EV, \u00c7akmak A, Ufuk AT. The investigation survey of inguinal hernia operation techniques preferred by pediatric surgeons in Turkey. Journal of Experimental and Clinical Medicine. 2021 Oct 1; 38(4): 451\u20136.10.52142\/omujecm.38.4.9","DOI":"10.52142\/omujecm.38.4.9"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_015","doi-asserted-by":"crossref","unstructured":"15. Wolak PK, Patkowski D. Laparoscopic inguinal hernia repair in children using the percutaneous internal ring suturing technique \u2013 own experience. Videosurgery Other Miniinvasive Tech [Internet]. 2014; 1: 53\u20138.10.5114\/wiitm.2014.40389","DOI":"10.5114\/wiitm.2014.40389"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_016","doi-asserted-by":"crossref","unstructured":"16. Miyake H, Fukumoto K, Yamoto M, Nakajima H, Sekioka A, Yamada Y, et al. Risk factors for recurrence and contralateral inguinal hernia after laparoscopic percutaneous extraperitoneal closure for pediatric inguinal hernia. J Pediatr Surg. 2017; 52(2): 317\u201321.10.1016\/j.jpedsurg.2016.11.029","DOI":"10.1016\/j.jpedsurg.2016.11.029"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_017","doi-asserted-by":"crossref","unstructured":"17. Miltenburg DM, Nuchtern JG, Jaksic T, Kozinetz CA, Brandt ML. Meta-analysis of the risk of metachronous hernia in infants and children. In: American Journal of Surgery. 1997. p. 741\u20134.10.1016\/S0002-9610(97)00182-7","DOI":"10.1016\/S0002-9610(97)00182-7"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_018","doi-asserted-by":"crossref","unstructured":"18. Tackett LD, Breuer CK, Luks FI, Caldamone AA, Breuer JG, DeLuca FG, et al. Incidence of contralateral inguinal hernia: A prospective analysis. In: Journal of Pediatric Surgery. 1999. p. 684\u20138.10.1016\/S0022-3468(99)90356-1","DOI":"10.1016\/S0022-3468(99)90356-1"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_019","doi-asserted-by":"crossref","unstructured":"19. Hoshino M, Sugito K, Kawashima H, Goto S, Kaneda H, Furuya T, et al. Prediction of contra-lateral inguinal hernias in children: A prospective study of 357 unilateral inguinal hernias. Hernia. 2014; 18(3): 333\u20137.10.1007\/s10029-013-1099-2403755723644774","DOI":"10.1007\/s10029-013-1099-2"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_020","doi-asserted-by":"crossref","unstructured":"20. S\u00f6z\u00fcbir S, Ekingen G, \u015eenel U, Kahraman H, G\u00fcven\u00e7 BH. A continuous debate on contralateral processus vaginalis: Evaluation technique and approach to patency. Hernia. 2006; 10(1): 74\u20138.10.1007\/s10029-005-0047-116362231","DOI":"10.1007\/s10029-005-0047-1"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_021","doi-asserted-by":"crossref","unstructured":"21. Nassiri SJ. Contralateral exploration is not mandatory in unilateral inguinal hernia in children: A prospective 6-year study. Pediatr Surg Int. 2002; 18(5\u20136): 470\u20131.10.1007\/s00383-002-0711-912415383","DOI":"10.1007\/s00383-002-0711-9"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_022","doi-asserted-by":"crossref","unstructured":"22. Chang YT. Technical refinements in single-port laparoscopic surgery of inguinal hernia in infants and children. Diagnostic and Therapeutic Endos-copy. 2010.10.1155\/2010\/392847287492120508740","DOI":"10.1155\/2010\/392847"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_023","doi-asserted-by":"crossref","unstructured":"23. Yang C, Zhang H, Pu J, Mei H, Zheng L, Tong Q. Laparoscopic vs open herniorrhaphy in the management of pediatric inguinal hernia: A systemic review and meta-analysis. Vol. 46, Journal of Pediatric Surgery. 2011. p. 1824\u201334.10.1016\/j.jpedsurg.2011.04.00121929997","DOI":"10.1016\/j.jpedsurg.2011.04.001"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_024","doi-asserted-by":"crossref","unstructured":"24. Lipskar AM, Soffer SZ, Glick RD, Rosen NG, Levitt MA, Hong AR. Laparoscopic inguinal hernia inversion and ligation in female children: a review of 173 consecutive cases at a single institution. J Pediatr Surg [Internet]. 2010; 45(6): 1370\u20134.10.1016\/j.jpedsurg.2010.02.11320620347","DOI":"10.1016\/j.jpedsurg.2010.02.113"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_025","doi-asserted-by":"crossref","unstructured":"25. Abraham MK, Nasir AA, Puzhankara R, Abdur-Rahman LO, Viswanath N, Kedari P, et al. Laparoscopic inguinal hernia repair in children: a single-centre experience over 7 years. African J Paediatr SurgeryAJPS. 2012; 9(2): 137\u20139.10.4103\/0189-6725.9940022878763","DOI":"10.4103\/0189-6725.99400"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_026","doi-asserted-by":"crossref","unstructured":"26. Chang YT, Wang JY, Lee JY, Chiou CS, Hsieh JS. One-trocar laparoscopic transperitoneal closure of inguinal hernia in children. World journal of surgery. 2008 Nov; 32(11): 2459\u201363.10.1007\/s00268-008-9732-418791861","DOI":"10.1007\/s00268-008-9732-4"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_027","doi-asserted-by":"crossref","unstructured":"27. Marulaiah M, Atkinson J, Kukkady A, Brown S, Samarakkody U. Is contralateral exploration necessary in preterm infants with unilateral inguinal hernia? J Pediatr Surg. 2006; 41(12): 2004\u20137.10.1016\/j.jpedsurg.2006.08.02617161192","DOI":"10.1016\/j.jpedsurg.2006.08.026"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_028","doi-asserted-by":"crossref","unstructured":"28. Ron O, Eaton S, Pierro A. Systematic review of the risk of developing a metachronous contralateral inguinal hernia in children. Vol. 94, British Journal of Surgery. 2007. p. 804\u201311.10.1002\/bjs.585617571299","DOI":"10.1002\/bjs.5856"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_029","doi-asserted-by":"crossref","unstructured":"29. Oue T, Kubota A, Okuyama H, Kawahara H. Laparoscopic percutaneous extraperitoneal closure (LPEC) method for the exploration and treatment of inguinal hernia in girls. Pediatr Surg Int. 2005; 21(12): 964\u20138.10.1007\/s00383-005-1556-916235058","DOI":"10.1007\/s00383-005-1556-9"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_030","doi-asserted-by":"crossref","unstructured":"30. Zhao J, Chen Y, Lin J, Jin Y, Yang H, Wang F, et al. Potential value of routine contralateral patent processus vaginalis repair in children with uni-lateral inguinal hernia. Br J Surg. 2017; 104(1): 148\u201351.10.1002\/bjs.1030227778329","DOI":"10.1002\/bjs.10302"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_031","doi-asserted-by":"crossref","unstructured":"31. Takehara H, Yakabe S, Kameoka K. Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions. J Pediatr Surg. 2006; 41(12): 1999\u20132003.10.1016\/j.jpedsurg.2006.08.03217161191","DOI":"10.1016\/j.jpedsurg.2006.08.032"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_032","doi-asserted-by":"crossref","unstructured":"32. Li B, Nie X, Xie H, Gong D. Modified single-port laparoscopic herniorrhaphy for pediatric inguinal hernias: Based on 1,107 cases in China. Surg Endosc Other Interv Tech. 2012; 26(12): 3663\u20138.10.1007\/s00464-012-2396-z22773230","DOI":"10.1007\/s00464-012-2396-z"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_033","doi-asserted-by":"crossref","unstructured":"33. Thomas DT, G\u00f6cmen KB, Tulgar S, Boga I. Percutaneous internal ring suturing is a safe and effective method for the minimal invasive treatment of pediatric inguinal hernia: Experience with 250 cases. J Pediatr Surg. 2016; 51(8): 1330\u2013510.1016\/j.jpedsurg.2015.11.02426777889","DOI":"10.1016\/j.jpedsurg.2015.11.024"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_034","doi-asserted-by":"crossref","unstructured":"34. Kara YA, Ya\u011f\u0131z B, Balc\u0131 \u00d6, Karaman A, \u00d6zg\u00fcner \u0130F, Karaman \u0130. Comparison of Open Repair and Laparoscopic Percutaneous Internal Ring Suturing Method in Repairing Inguinal Hernia in Children. Cureus. 2021 Apr 2; 13(4).10.7759\/cureus.14262809312433959445","DOI":"10.7759\/cureus.14262"},{"key":"2026071214263627960_j_prilozi-2022-0020_ref_035","doi-asserted-by":"crossref","unstructured":"35. Steven M, Greene O, Nelson A, Brindley N. Contralateral inguinal exploration in premature neonates: is it necessary? Pediatric Surgery International. 2010 Jul; 26(7): 703\u20136.10.1007\/s00383-010-2614-520454795","DOI":"10.1007\/s00383-010-2614-5"}],"container-title":["PRILOZI"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/reference-global.com\/pdf\/10.2478\/prilozi-2022-0020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:49:06Z","timestamp":1783903746000},"score":1,"resource":{"primary":{"URL":"https:\/\/reference-global.com\/article\/10.2478\/prilozi-2022-0020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,1]]},"references-count":35,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,7,13]]},"published-print":{"date-parts":[[2022,7,1]]}},"alternative-id":["10.2478\/prilozi-2022-0020"],"URL":"https:\/\/doi.org\/10.2478\/prilozi-2022-0020","relation":{},"ISSN":["1857-8985"],"issn-type":[{"value":"1857-8985","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,1]]}}}