Laparoscopic herniotomy with orchidopexy: our experience and a review of literature

Umang Shandilaya; Abhijit S. Joshi

doi:10.18203/2349-2902.isj20253018

Authors

Umang Shandilaya Department of General and Laparoscopic Surgery, Dr. L. H. Hiranandani Hospital, Powai, Mumbai, Maharashtra, India
Abhijit S. Joshi Department of General and Laparoscopic Surgery, Dr. L. H. Hiranandani Hospital, Powai, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20253018

Keywords:

Congenital hernia, Herniotomy, Laparoscopic, Orchidopexy, Undescended testes, Undescended testis

Abstract

Background: Congenital hernia and undescended testis are significant pediatric surgical conditions traditionally managed through open techniques. With advances in minimally invasive surgery, laparoscopic approaches now offer an alternative for treating these conditions.

Methods: We present a retrospective study outlining our experience with laparoscopic herniotomy and, when indicated, laparoscopic orchidopexy in paediatric patients. In all cases, pneumoperitoneum pressures were adjusted appropriately to ensure procedural safety and efficacy.

Results: Our findings demonstrate that laparoscopic repair of both congenital hernia and undescended testis is technically feasible and effective in children. All procedures were completed successfully, with minimal complications and satisfactory postoperative outcomes.

Conclusion: Laparoscopic management of congenital hernias and undescended testes is a safe and effective alternative to open surgery in paediatric patients, given the availability of an advanced surgical setup and experienced personnel.

Metrics

Metrics Loading ...

References

Helal AAA, Alahmadi TAA, Alhelali HFA, Almutairi BMB, Alkhulayfi FMM, Almutairi IAK, et al. Knowledge and awareness about congenital umbilical and inguinal hernias in infants and children and its complication among parents in Madinah, Saudi Arabia. J Res Med Dent Sci. 2022;10(7):107-12.

Kułagowski A, Wyrzykowski D, Janczak D, Bobkiewicz A, Jasiński J, Jaroszyński P, et al. Undescended testis: diagnosis, management, and complications. J Pediatr Surg. 2023;58(8):1579-85.

Sfoungaris D, Theou M, Efremidis S. Differences in the development of the processus vaginalis between children with undescended testis and inguinal hernia. J Clin Neonatol. 2016;5(1):33-8. DOI: https://doi.org/10.4103/2249-4847.173270

Bajpai M, Mishra S, Kumar A, Saxena R. Persistent processus vaginalis and its related disorders. Perspect Clin Res. 2020;11(1):15-21.

Surgical treatment of cryptorchidism: current insights and future directions. Front Endocrinol. 2024;15:1327957. DOI: https://doi.org/10.3389/fendo.2024.1327957

Khan FA, Jancelewicz T, Kieran K, AAP Committee on Fetus and Newborn, Section on Surgery, Section on Urology. Assessment and management of inguinal hernias in children. Pediatrics. 2023;152(1):e2023062510. DOI: https://doi.org/10.1542/peds.2023-062510

American Urological Association. Cryptorchidism: AUA guideline. Linthicum (MD): American Urological Association. 2018. Available at: https:// www.auanet.org/guidelines-and-quality/guidelines/ cryptorchidism-guideline. Accessed on 02 May 2025.

Salah A, Ahmed S. The role of laparoscopy in non-palpable undescended testicle: analysis and review of the experience from two cities in Sudan. Afr J Paediatr Surg. 2022;19(3):130-4. DOI: https://doi.org/10.4103/ajps.AJPS_39_21

Leslie SW, Sajjad H, Villanueva CA. Cryptorchidism. StatPearls. Treasure Island (FL): StatPearls Publishing. 2025.

Elsaedy M, Shehata M, Almetaher H, Kabbash I, Shehata S. Laparoscopic versus open inguinal hernia repair in pediatric age group: a systematic review and meta-analysis. J Pediatr Endosc Surg. 2024;6:1-10. DOI: https://doi.org/10.1007/s42804-024-00217-z

Hashem AA, Al-Zoubi H, Al-Shorbagy MS, Al-Enezi AS, Abdullah AA, Al-Ajlan SS. Laparoscopic single-stage management of pediatric concomitant inguinal hernia and cryptorchidism: a systematic review and meta-analysis. J Pediatr Surg. 2024;59(2):299-307.

Shalaby R, Fawy M, El-Gendi H, Abd El-Aal K, Alnagar M. Laparoscopic versus open orchidopexy for palpable undescended testes: a prospective randomized study. J Pediatr Surg. 2019;54(3):561-4.

Yildiz T, Akin M, Inan M, Koksal I, Cetinkaya S. Single-session laparoscopic management of concomitant inguinal hernia and undescended testis. Int J Clin Pract. 2022;76(4):e15096.

Hou R, Liang C, Ma X, Xu S. Laparoscopic-assisted repair of inguinal undescended testis with concurrent incarcerated hernia in children: a single-center experience. Ann Med Surg (Lond). 2024;86:1395-9.