Adding iliopubic tract repair to high ligation reduces recurrence risk in pediatric laparoscopic transabdominal inguinal hernia repair

This large retrospective study of 3,386 pediatric patients demonstrates that adding iliopubic tract repair to standard high ligation during laparoscopic inguinal hernia repair significantly reduces recurrence risk to zero, compared to 0.35% with high ligation alone. The technique adds fascial reinforcement without increasing complications, particularly benefiting infants under one year who show highest recurrence rates.