RT Book, Section 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. SR Print(0) ID 1100434065 T1 Hernias of the Inguinal Region T2 Operative Pediatric Surgery, 2e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-162723-8 LK accesssurgery.mhmedical.com/content.aspx?aid=1100434065 RD 2024/03/28 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.