Laparoscopic modified percutaneous internal ring suturing - a mesh-free alternative for indirect inguinal hernia repair in adults. a pilot prospective cohort study

Infographic · Mar 2026 · 1 min read

In brief

This pilot study evaluates a laparoscopic mesh-free technique for adult indirect inguinal hernia repair using modified percutaneous internal ring suturing. The approach offers a minimally invasive alternative to traditional mesh-based repairs in selected patients.

Written by the GCMD Library team from the infographic.

The infographic uses a teal, pink, and yellow color scheme with simple illustrations including a clipboard, surgical hand with sutures, laparoscopic monitor view, and figures running. Information is organized in blocks with key outcomes highlighted in colored boxes. The layout flows from study design at top to results in middle and conclusion at bottom.

Petter Fosse Gjessing, Todd Ponsky, Rolv-Ole Lindsetmo

The text in the image

Modified Percutaneous Internal Ring Suturing (mPIRS) for Adult Indirect Inguinal Hernia | Prospective Pilot Cohort Study | 20 adults w/ unilateral indirect inguinal hernia | underwent laparoscopic high-ligation repair using mPIRS | assessed patient-reported pain, activity, quality of life | 2015-2019 | No hernia recurrences at follow-up | All patients achieved full activity scores at 1 year | Significant improvements in multiple quality-of-life physical health domains | Significant reductions in: | Post-op pain at rest & during activity | Conclusion: mPIRS showed no recurrences, improved pain, and functional outcomes at long-term follow-up. Larger randomized trials are needed to confirm its effectiveness compared with standard hernia repair techniques. | @LizzyPAC8 | @globalcastmd | @StayCurrentMD | Cincinnati Children's | https://pubmed.ncbi.nlm.nih.gov/41342640/ | Giessing PF et al. | Department of Gastrointestinal Surgery | University Hospital of North Norway, Tromsø, Norway