IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-4-24991 Original Research Paper LAPAROSCOPIC GUIDED NEEDLE ASSISTED CONGENITAL HERNIA REPAIR:TECHNIQUE AND OUTCOME Dinesh Prasad Dr. April 2020 9 4 01 02 ABSTRACT

Our method for inguinal hernia repair using laparoscopic techniques has comparable outcomes to the standard open technique. Hernia repair is accomplished with a Laparoscopic single–port needle–assisted congenital hernia repair. After identification of a patent processes vaginalis, the internal ring is encircled in an extraperitoneal plane using a 18G–Touhy needle for placement of a encircling suture, tied extracorporeally, and buried beneath the skin. The technique was standardized for all cases. On six month to twelve month follow up no Recurrence was recorded till submission of this manuscript for 30 cases of Laparoscopic single–port needle–assisted congenital hernia repair. Furthermore, laparoscopy objectively identifies asymptomatic or occult contralateral defect, uses a smaller incision, and eliminates dissection of the cord structures potentially reducing the risk of cord injury.