Pediatric Inguinal Hernia Repair with Laparoscopy (PIHRL)-trial: A multicenter study comparing extra-corporeal Percutaneous Internal Ring Suture (PIRS) and intra-corporeal purse-string suture for inguinal hernia

jpedsurg.org

Techniques for inguinal hernia repair (IHR) in children are continuously being improved. Open repair is increasingly giving way to laparoscopy, with two possible approaches for laparoscopy: extra-peritoneally (Percutaneous Internal Ring Suturing, PIRS) or intra-peritoneally (conventional laparoscopy with purse-string suture). The aim of this trial is to compare outcomes, e.g. recurrence and anesthesia times, of PIRS with intra-corporeal laparoscopy using a purse-string suture (LIHR).

jpedsurg.org shows its articles on its own site.

Read the article on jpedsurg.org ↗

Article · Nov 2025 · 1 min read

In brief

This multicenter trial compares two laparoscopic approaches for pediatric inguinal hernia repair: extra-corporeal PIRS versus intra-corporeal purse-string suture technique. The study evaluates clinical outcomes including recurrence rates and operative efficiency to guide surgical technique selection in children.

Laparoscopic techniques are replacing open repair for pediatric inguinal hernias with two main approaches available.
PIRS (extra-peritoneal) and intra-corporeal purse-string suture represent distinct laparoscopic strategies for hernia closure.
The PIHRL trial directly compares recurrence rates and anesthesia times between these two laparoscopic methods.
Choice between extra-peritoneal vs intra-peritoneal approach may impact operative efficiency and hernia recurrence risk.

Written by the GCMD Library team from the article.

Read it at the source ↗