Inguinal Hernia
Also covered as: patent processus vaginalis · direct hernia · indirect hernia · femoral hernia · incarcerated hernia · incarceration · prematurity · apnea
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Answers come only from this collection's statement ledger and cite the exact moment · not medical advice
Content of this collection
Foundations
3 items
Inguinal Hernias: Diagnosis and Management
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Inguinal hernia repair is the second most common surgery performed by pediatric surgeons. Here, we discuss the basics of diagnosis and management for inguinal hernias with Dr. Meera Kotagal. Special guests Rae Hanke and Gillian Goddard.Chec
podcast · 16:29 · Apr 2021
Pediatric Inguinal Hernia in Brief: Presentation, Workup, Diagnosis, Perioperative Considerations
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Inguinal hernia repair is the second most common surgery performed by pediatric surgeons so here, we cover the basics of presentation, diagnosis, surgical approach, and post operative management with Dr. Meera Kotagal and host Dr. Rod Gerar
video · Sep 2021
#115: Must Know Urology for The General Surgeon w/ Dr. Ponsky and Dr. Cherullo
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#115: Must Know Urology for The General Surgeon w/ Dr. Ponsky and Dr. Cherullo | Behind The Knife Dominate the ABSITE. Day. Operating Room. Wards. Boards. ABSITE. Your privacy choices We use cookies and similar technologies for product anal
podcast · Jul 2026
Surgical Management
5 items
Laparoscopic Pediatric Hernia Repair: Online Course 2017
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This was a half-day course focused on teaching the fine points of a the laparoscopic pediatric hernia repair led by Drs Ian Mitchell, Todd Ponsky, Jeff Gander, Sophia Abdulhai, Abdulraouf Lamoshi, Louis Seya.We presented many of the differ
video · 102:10 · Sep 2018
Focus on Technique- Laparoscopic Pediatric Hernia Repair 2015
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Dr. Todd Ponsky introduces the event focusing on Laparoscopic Pediatric Hernia Repair. Recently, the non-mesh laparoscopic pediatric hernia repair in children and adolescents has gained immense popularity. This event, "Focus on Technique: L
video · 140:52 · Jan 2019
Female Neonatal Inguinal Hernia Repair Dr. Tamer Ashraf Wafa
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In this video, the surgical treatment of inguinal hernia in a 3 week old girl is demonstrated. The main focus of this video is to illustrate how to ligate and divide the hernial sac at the proper neck through a limited lower abdominal creas
video · 4:42 · Jul 2021
Pediatric Open Herniotomy in boys 15 Minutes Unedited Dr. Tamer Ashraf Wafa
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In this video, open inguinal hernia repair is demonstrated. The patient is a 3 month old boy. The right side is being operated on. The video shows the surgeon's point of view (POV). In this procedure, the operative steps are played in norma
video · 16:29 · Aug 2021
Herniotomy in a Neonate 1 month old boy By Dr. Tamer Ashraf Wafa
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In this video, open inguinal hernia repair is demonstrated. The patient is a 3 month old boy. The right side is being operated on. The video shows the surgeon's point of view (POV). In this procedure, the operative steps are played in norma
video · 9:59 · Aug 2021
Evidence & Research
12 items
Pediatric inguinal hernias: should repair be open versus laparoscopic?
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Dr. Georgios Kampouroglou discusses the ideal approach for pediatric inguinal hernia repair, as he summarizes "Long-term Follow-Up of Pediatric Open and Laparoscopic Inguinal Hernia Repair " from the Journal of Pediatric Surgery. Link to th
video · Mar 2020
PAPS -Perioperative Opioid Use In Paediatric Inguinal Hernia Patients- A Systematic Review And Retrospective Audit Of Practice - Isabel Hageman
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Listen to Isabel Hageman gave her presentation of "Perioperative Opioid Use In Pediatric Inguinal Hernia Patients- A Systematic Review And Retrospective Audit Of Practice" at the first ever Best of the Best in Pediatric Surgery event.
video · 11:59 · May 2022
Best of the Best Gen Surg - Predictors of Low and High Opioid Tablet Consumption after Inguinal Hernia Repair – an ACHQC Opioid Reduction Task Force Analysis - Dr. Warren
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Listen to Jeremy Warren gave his presentation of "Predictors of Low and High Opioid Tablet Consumption after Inguinal Hernia Repair – an ACHQC Opioid Reduction Task Force Analysis" at the first ever Best of the Best in General Surgery event
video · 11:00 · Sep 2022
BOB Ped Surg 2023 - Wendy Song, CAPS - Presentation
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Watch Wendy Song, MD, present her presentation on "A comparison of operative and anesthetic techniques for inguinal hernia repair in infants."
video · Feb 2023
Delayed versus early repair of inguinal hernia in preterm infants
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Another Article you should know by Dr. Cecilia Gigena
"Delayed versus early repair of inguinal hernia in preterm infants: A systematic review & meta-analysis"
Authors: Candy SC Choo, Yong Chen, Merrill McHoney
Full Article: https:
video · 0:43 · Nov 2023
Effect of Early vs Late Inguinal Hernia Repair on Serious Adverse Event Rates in Preterm Infants
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Martin L. Blakely, MD, MS; Andrea Krzyzaniak, MA; Melvin S. Dassinger, MD; Claudia Pedroza, PhD; Jorn-Hendrik Weitkamp, MD, PhD; Ankush Gosain, MD, PhD; Michael Cotten, MD; Susan R. Hintz, MD, MS; Henry Rice, MD; Sherry E. Courtney, MD; Kev
video · 1:35 · Nov 2024
The Use of Laryngeal Mask Airway Versus Endotracheal Intubation in Pediatric Laparoscopic Inguinal Hernia Repair: A Randomized Controlled Trial
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Emily L. Weisberg, Benjamin J. Pieters, Meredith S. Elman, Cory J. Nonnemacher, Janelle Noel-MacDonnell, Tolulope A. OyetunjiBackground
A laryngeal mask airway (LMA) is routinely used for many types of pediatric surgical procedures and as a
video · 0:49 · Sep 2025
Effect of a Pediatric Surgeon's Primarily Performed Technique on Inguinal Hernia Recurrence Rates: A Multicenter Retrospective Cohort Study
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Kathleen Heller, Brielle V Ochoa, Stephanie F Brierley, Benjamin E Padilla; Pediatric Inguinal Hernia Collaborative GroupPurpose: To investigate the effect of surgeons' preferred repair technique for pediatric inguinal hernia repair (IHR) -
video · 0:53 · Jan 2026
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
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Michela Carter, Steven T Papastefan, Yao Tian, Stephen J Hartman, Meredith S Elman , Sara G Ungerleider , Aaron P Garrison , Tolulope A Oyetunji , Matthew P Landman, Mehul V Raval, Seth D Goldstein, Timothy B Lautz Background: Utilization o
video · 0:51 · Feb 2026
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
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Michela Carter, Steven T Papastefan, Yao Tian, Stephen J Hartman, Meredith S Elman, Sara G Ungerleider, Aaron P Garrison, Tolulope A Oyetunji, Matthew P Landman, Mehul V Raval, Seth D Goldstein, Timothy B Lautz Background: Utilization of th
video · 0:51 · Feb 2026
Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study
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Kathleen Heller, Brielle V Ochoa, Stephanie F Brierley, Benjamin E Padilla; Pediatric Inguinal Hernia Collaborative Group; Amir Alhajjat, Emily Byrd, Stephanie D Chao, Christopher Clinker, Jose Diaz-Miron, Goeto Dantes, R Scott Eldredge, El
video · 0:54 · Feb 2026
Laparoscopic modified percutaneous internal ring suturing - a mesh-free alternative for indirect inguinal hernia repair in adults. a pilot prospective cohort study
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Petter Fosse Gjessing, Todd Ponsky, Rolv-Ole LindsetmoBackgroundInguinal hernia surgery has undergone significant and extensive transformation, including the advent of tissue-based repairs and, later, tension-free repair with the acceptance
video · 0:43 · May 2026
Case-Based Learning
3 items
Groin Controversies: Update Course 2016
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At the 4th Annual Stay Current in Pediatric Surgery Update Course in 2016, Dr. Todd Ponsky presents various cases involving groin hernia repairs. Topics discussed include reducible inguinal hernia, high ligation repair, mesh repair, hernia
video · 28:58 · Sep 2018
Groin Controversies - Todd Ponsky: Update Course 2014
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Dr. Todd Ponsky presents various cases involving groin hernia repairs. Topics discussed include reducible inguinal hernia, high ligation repair, mesh repair, hernia diagnostic exam, indirect versus direct hernia, open hernia repair, intraco
video · 28:58 · Nov 2018
Case-Based Journal Review: Inguinal Hernia 2025
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Dr. José Campos is back, this time helping us review some of the latest literature on the management of Inguinal Hernia in children. In this podcast, we're reviewing a hernia case with Dr. Todd Ponsky and incorporating literature from the l
podcast · 19:13 · Apr 2025
In-Depth Reviews
5 items
Inguinal Hernia: Adult
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Dr Michael Rosen discusses Adult Inguinal Hernias with Dr Jeffrey Ponsky Edited by Harveen LambaIntroductions:Dr. Ponsky, professor of surgery at the Cleveland Clinic Lerner College of Medicine and Department of Surgery and Dr. Michael Rose
podcast · 31:02 · Dec 2020
2026 Laparoscopic Pediatric Hernia Repair
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Dr. Todd Ponsky from Cincinnati Children's Hospital leads an interactive course discussing controversies and various techniques for inguinal hernia repair, particularly focusing on the laparoscopic approach. He presents patient scenarios an
video · 123:40 · Jun 2026
Inguinal Hernia With M. Rosen
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An interactive discussion about inguinal hernia between Jeffrey Ponsky, MD and Michael Rosen, MD. Dr. Rosen is professor of surgery at Cleveland Clinic Lerner
podcast · 31:05 · Jul 2026
Inguinal Hernia With M. Rosen
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An interactive discussion about inguinal hernia between Jeffrey Ponsky, MD and Michael Rosen, MD. Dr. Rosen is professor of surgery at Cleveland Clinic Lerner
podcast · 31:05 · Jul 2026
Inguinal Hernia With M. Rosen
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An interactive discussion about inguinal hernia between Jeffrey Ponsky, MD and Michael Rosen, MD. Dr. Rosen is professor of surgery at Cleveland Clinic Lerner College of Medicine. Table of Contents 1:00:44 1 Introductions 2:02:45Work up for
podcast · 31:05 · Jul 2026
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Common questions
What are the types of hernia repair?
Three primary repair approaches exist for inguinal hernia: tissue repair, open mesh repair, and laparoscopic mesh repair. Within open repair, surgeons can perform repairs without mesh or with mesh using techniques such as Lichtenstein. Laparoscopic approaches include preperitoneal or extraperitoneal repairs. Literature supports all three approaches for unilateral primary hernias, with approach selection individualized to patient factors rather than one technique being substantially superior.
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Every statement below comes from the recorded discussions, with its speaker and moment.
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
The study examined over 53,000 children who had inguinal hernia repair across the United States
epidemiologicalLizzie Lee0:06 ↗
Approximately 16% of the children had laparoscopic surgery
epidemiologicalLizzie Lee0:13 ↗
Most children had an open repair
epidemiologicalLizzie Lee0:15 ↗
The study compared two key outcomes: hernia recurrence on the same side and the need for a second hernia operation later on
clinicalLizzie Lee0:17 ↗
Laparoscopic repair had more than 3 times the risk of same side recurrence compared to open surgery
clinicalLizzie Lee0:23 ↗
Laparoscopic repair was linked to fewer future surgeries on the opposite side (metachronous hernias)
clinicalLizzie Lee0:30 ↗
The findings held up even after adjusting for hospital differences and patient factors
clinicalLizzie Lee0:36 ↗
Open repair has a lower risk of recurrence
clinicalLizzie Lee0:40 ↗
Laparoscopic repair may reduce the chance of needing surgery on the other side
clinicalLizzie Lee0:40 ↗
The study examined over 53,000 children who had inguinal hernia repair across the United States
epidemiologicalLizzie Lee0:06 ↗
Approximately 16% of the children had laparoscopic surgery
epidemiologicalLizzie Lee0:13 ↗
Most children had an open repair
epidemiologicalLizzie Lee0:15 ↗
The study compared two key outcomes: hernia recurrence on the same side and the need for a second hernia operation later on
clinicalLizzie Lee0:17 ↗
Laparoscopic repair had more than 3 times the risk of same side recurrence compared to open surgery
clinicalLizzie Lee0:23 ↗
Laparoscopic repair was linked to fewer future surgeries on the opposite side (metachronous hernias)
clinicalLizzie Lee0:30 ↗
The findings held up even after adjusting for hospital differences and patient factors
clinicalLizzie Lee0:36 ↗
Open repair has a lower risk of recurrence
clinicalLizzie Lee0:40 ↗
Laparoscopic repair may reduce the chance of needing surgery on the other side
clinicalLizzie Lee0:40 ↗
Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study
Heller et al. published a multi-institutional study in the Journal of Pediatric Surgery in 2025
epidemiologicalJill Knepprath0:10 ↗
Inguinal hernias repaired by lower volume surgeons had a 1.5 fold increase in the odds of recurrence
epidemiologicalJill Knepprath0:22 ↗
There was no difference in recurrence rates for open repairs based on surgeon volume
epidemiologicalJill Knepprath0:30 ↗
Laparoscopic repairs done by lower volume surgeons had a 3.3 fold increase in the odds of recurrence
epidemiologicalJill Knepprath0:35 ↗
The authors recommend maintaining a high volume of laparoscopic repairs, and if that's not possible, to seek help from a higher volume surgeon
guidelineJill Knepprath0:44 ↗
Laparoscopic modified percutaneous internal ring suturing - a mesh-free alternative for indirect inguinal hernia repair in adults. a pilot prospective cohort study
High ligation hernia repair is traditionally a pediatric technique
clinicalJill Knepprath0:00 ↗
The study was published in the International Journal of Surgery
clinicalJill Knepprath0:08 ↗
The study used modified percutaneous internal ring suturing technique for laparoscopic non-mesh repair of indirect inguinal hernias in adults
clinicalJill Knepprath0:12 ↗
The study included 20 patients
epidemiologicalJill Knepprath0:23 ↗
The majority of patients were male
epidemiologicalJill Knepprath0:25 ↗
No patients had hernia recurrence on follow-up
clinicalJill Knepprath0:26 ↗
Median follow-up duration was 79 months
epidemiologicalJill Knepprath0:26 ↗