WOFAPS 2025 8th World Congress of Pediatric Surgery

Aliye Kandırıcı, Ali İhsan Dokucu

Istanbul Health Sciences University, Prof. Dr. Cemil Taşçıoğlu City Hospital, Department of Pediatric Surgery and Pediatric Urology

Purpose: The PIRS technique is defined as the gold standard for diagnostic and therapeutic procedures in female patients. However, it is considered unsafe in male patients due to the potential risk of injury to the spermatic cord and vessels during internal inguinal ring suturing. Our study aims to demonstrate the safe applicability of this method in all patients, regardless of gender, by minimising hematoma and spermatic cord injuries that may occur when using a filling cannula needle with a blunt tip and metal construction, which is designed to avoid vascular injuries in medical aesthetic applications.

Method: The files of 102 patients who underwent laparoscopic inguinal hernia repair for a diagnosis of inguinal hernia between the ages of 0 and 18 between January 2018 and January 2023 were evaluated retrospectively for the presence of demographic and postoperative recurrence. A total of 102 patients underwent 126 PIRS (Percutaneous Internal Ring Suturing) procedures.

Results: Patients were divided into needle group (60.8% n: 62) and cannula group (39.2% n: 40). Of the 102 cases, 64.7% were female (n: 66) and 35.3% were male (n: 36). Recurrence rates did not statistically significant difference compared to the groups (p>0.05).

Conclusions: In our study, we demonstrated that the PIRS technique, combined with the cannula needle, can be applied safely and with high success rates in both boys and girls, as it is minimally invasive to the surrounding tissues and facilitates peritoneal dissection.