Sutureless versus purse string with complete sac dissection in Laparoscopic inguinal hernia repair in children: A randomized clinical trial

Introduction: Pediatric inguinal hernia is a common surgical problem with cumulative incidence of 4.2%. Minimal invasive surgery role is growing in the treatment of this problem. We compared the outcome of laparoscopic sutureless herniotomy and purse string with sac dissection repair regarding complications and operative time. Methods: one hundred fifty two patients were operated in two centers with two different techniques: Sac dissection and purse string suture and sutureless repair. Operative time and recurrence were the main outcomes of comparison. Results: Sutureless repair has shorter operative time (29±10 minutes) compared to purse string repair (38±13 minutes). The recurrence rate showed no statistical significance difference. However, the recurrence rate of Sutureless repair was three folds higher than the purse string repair and all recurrences were in large defects of 10-15 mm. Conclusion: Sutureless repair is safe for defects up to 10 mm with excellent operative time. However, it had an unfavorable outcome in larger defects. Research and ethical committee approval number: D-11-2020