Peer-reviewed veterinary case report
Laparoscopic repair of inguinal hernia in a high-risk infant
By Chin SE et al.·2026·Department of Surgery·View original on Europe PMC →
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Original publication title: Laparoscopic identification and management of a pediatric direct inguinal hernia in a high-risk infant: A case report.
Plain-English summary
This case describes a very premature infant who developed a rare type of hernia called a direct inguinal hernia, which is when tissue pushes through a weak spot in the abdominal wall. Despite having surgery to fix the hernia, the infant continued to have issues, with the hernias changing in type over time. The doctors decided to wait until the child was three years old to perform a more definitive surgery after the hernia became trapped. When they operated again, they found both a right indirect hernia and a left direct hernia, but after using a special technique to close the opening and placing a mesh for support, the repair was successful and there were no further problems after a year.
Abstract
Direct inguinal hernia is rare in children and may be underrecognized. We report a high-risk infant with extreme prematurity and prolonged positive-pressure ventilation who developed recurrent inguinal hernias despite anatomically appropriate laparoscopic repairs. Serial laparoscopic reassessments revealed dynamic progression from bilateral indirect hernias to pantaloon hernias and ultimately a persistent direct defect. Definitive repair was deferred until three years of age when incarceration occurred. Laparoscopic reassessment confirmed a right indirect and left direct hernia. Percutaneous internal ring closure and open Lichtenstein tension-free mesh repair achieved durable repair without recurrence at 12-month follow-up.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41884855