I21 Laparoscopic Inguinal Herniotomy

Abstract

Indirect inguinal hernias are some of the commonest surgical conditions in infancy, and while there is debate as to whether conventional or open inguinal hernia repair is the preferred option, there is now an established role for laparoscopic inspection of the contralateral internal ring to exclude an open internal inguinal ring. In neonates with an undescended testis and a hernia, laparoscopic closure of the internal ring is an indication par excellence, as it leaves the contents of the inguinal canal – including the testis – completely untouched, making subsequent orchidopexy much easier.