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Purpose <p>This study evaluated comparative outcomes of percutaneous internal ring suturing technique (PIRS) performed with and without peritoneal cauterization in pediatric populations.</p> Methods <p>A retrospective cohort study analysed 270 pediatric patients (aged 3&#xa0;months–12&#xa0;years) who underwent PIRS. Patients were stratified into Group A (peritoneal cauterization, n = 130) and Group B (standard PIRS, n = 140). Operative duration, postoperative complications, pain scores, and recurrence rates with a minimum 6-month follow-up were assessed.</p> Results <p>Group A demonstrated significantly older mean age (5.71 ± 3.02 versus 4.93 ± 3.35&#xa0;years, <i>p</i> = 0.047) and higher unilateral hernia prevalence (92.31% versus 64.29%, <i>p</i> &lt; 0.001). Operative duration was prolonged in Group A (55 ± 16.48 versus 45.71 ± 8.9&#xa0;min, <i>p</i> &lt; 0.001). Age-dependent pain responses emerged: patients ≥ 7&#xa0;years in Group A achieved superior analgesia (38.46% VAS 0/10 versus 21.43%, <i>p</i> &lt; 0.001), while younger patients demonstrated better outcomes without cauterization. Group A exhibited no complications compared to minimal complications in Group B (4.28% total).</p> Conclusions <p>Peritoneal cauterization during PIRS demonstrates enhanced postoperative outcomes in older pediatric patients while maintaining safety profiles, supporting selective application based on patient age.</p>

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Outcome of laparoscopic percutaneous extra-peritoneal closure of internal ring with or without peritoneal cauterization

  • 期刊论文

  • 发表日期：

    2025年12月26日

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  • Mohamed M. Shalaby,
  • Hadeel Basharaheel,
  • Ahmed Alawi,
  • Ameen Alsaggaf,
  • Mohammed Awad

摘要

Purpose

This study evaluated comparative outcomes of percutaneous internal ring suturing technique (PIRS) performed with and without peritoneal cauterization in pediatric populations.

Methods

A retrospective cohort study analysed 270 pediatric patients (aged 3 months–12 years) who underwent PIRS. Patients were stratified into Group A (peritoneal cauterization, n = 130) and Group B (standard PIRS, n = 140). Operative duration, postoperative complications, pain scores, and recurrence rates with a minimum 6-month follow-up were assessed.

Results

Group A demonstrated significantly older mean age (5.71 ± 3.02 versus 4.93 ± 3.35 years, p = 0.047) and higher unilateral hernia prevalence (92.31% versus 64.29%, p < 0.001). Operative duration was prolonged in Group A (55 ± 16.48 versus 45.71 ± 8.9 min, p < 0.001). Age-dependent pain responses emerged: patients ≥ 7 years in Group A achieved superior analgesia (38.46% VAS 0/10 versus 21.43%, p < 0.001), while younger patients demonstrated better outcomes without cauterization. Group A exhibited no complications compared to minimal complications in Group B (4.28% total).

Conclusions

Peritoneal cauterization during PIRS demonstrates enhanced postoperative outcomes in older pediatric patients while maintaining safety profiles, supporting selective application based on patient age.