An Alternative Technique for Transumbilical Single-Port Laparoscopic Percutaneous Precise Closure of the Inguinal Hernia Sac in Children: A 3-Year Single-Centre Study

Figure 2

(a–h) Modification of the technique with single-port laparoscopic assisted hernia sac ligation extraperitoneally. (a) Confirming the diagnosis by laparoscopic exploration. (b) The guide wire is inserted into the trocar and stayed it in the cannular while placing the first suture loop in the abdominal cavity and withdrawing the needle-like trocar to insert the second suture loop. (c) The integrity of the hernia sac was reassessed. (d) The second suture loop is pulled into the peritoneal cavity and entered the first suture loop. (e) The second suture loop is locked inside the loop for retrieving the suture. (f) Sutures are tied separately. (g) The ligated suture knots are located in the extraperitoneal space. (h) Suturing incision located in the umbilicus.

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