Skipping the cord during laparoscopic percutaneous internal ring suturing in children, is it reasonable?

Retrospective study of 101 boys demonstrates that skipping peritoneum over the spermatic cord during laparoscopic PIRS for inguinal hernia does not increase recurrence rates (3% in both groups) while potentially protecting testicular vasculature. Technique offers a safety-focused alternative to careful dissection in pediatric laparoscopic hernia repair.