TY - CHAP M1 - Book, Section TI - Hernias of the Inguinal Region A1 - Gauderer, Michael W. L. A1 - Cina, Robert A. A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - High ligation of the hernia sac by either the classic open technique or more recent laparoscopic techniques remains the standard of care for pediatric indirect inguinal hernia.The issue of hernia incarceration is its frequency, especially increased in the neonatal population; the increased morbidity of operation in part related to its necessary urgency; the potential for permanent injury to the entrapped incarcerated organ; less optimal operative outcomes with potential vas and vessel injury; and treatment outcomes with greater recurrence rates.The trend toward greater application of the laparoscopic technique to hernia repair seems warranted to improve the sensitivity of diagnosis, the protection of vas, vessel, and sliding hernia sac content, and the placement using magnified vision of sac closing sutures that do not jeopardize other vital structures.Minimally invasive techniques may be particularly advantageous for the diagnosis and the treatment of both direct inguinal hernias as well as femoral hernias.Inguinal hernia repair remains one of the most common operations for children: such hernias are most common in prematures, in boys, and on the right side. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1100434065 ER -