Laparoscopic Pediatric Inguinal Hernia Repair: Our experience with the LSDS technique in an emerging tertiary care centre

Background One of the most common operations performed by pediatric surgeons is the repair of inguinal hernias. Open herniotomy has been the preferred technique for ages, with a recurrence rate of 0–6%. The laparoscopic sac dissection and suture ligation (LSDS) approach for hernia repair effectively replicates the open approach. Incidence of metachronous hernia repair after open repair is around 30%. Results A retrospective examination of prospectively obtained data was conducted. A total of 118 laparoscopic inguinal hernia repairs were performed in 101 children at an emerging suburban hospital between April 2022 and March 2025. All cases were completed utilizing the technique of laparoscopic sac dissection and suture ligation (LSDS). Seventeen (16.8%) patients had bilateral inguinal hernias. Nine children (8.9%) required additional narrowing of the deep inguinal ring which was achieved by suturing of the conjoint tendon to the reflected part of the inguinal ligament. One child had recurrent inguinal hernia. No case of metachronous hernia was found in our series. Conclusion Laparoscopic inguinal hernia repair procedures have improved, and pediatric surgeons are increasingly accepting of this approach. Thermal damage and narrowing of the musculoaponeurotic aperture significantly reduce the recurrence rate of laparoscopic inguinal hernia repair. More insight is needed into which sort of hernial ring dimensions which would be best served by deeper repair addressing the posterior wall.