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Long-term absorbable vs non-absorbable suture in laparoscopic percutaneous extraperitoneal closure of internal ring for inguinal hernia in children

Journal of Pediatric Surgery Mar 30, 2021

Son TN, et al. - Researches performed comparison of the results of utilizing long-term absorbable (LTAS) vs non-absorbable suture (NAS) in laparoscopic percutaneous extraperitoneal closure of internal ring (LPEC) for indirect inguinal hernia (IH) in children via retrospectively reviewing prospectively obtained data from children undergoing LPEC for IH. They identified a total of 481 patients with 499 IHs repaired with NAS (2.0 monofilament polypropylene or braided polytetrafluoroethilene) and 277 patients with 283 IHs repaired with LTAS 2.0 polydioxanone. Findings revealed no suture knot reaction (SKR) in correlation with LPEC repair for pediatric IH using LTAS but there was a higher recurrence rate compared with NAS. Because of low rate of both recurrence and SKR, they suggest monofilament NAS such as Prolene as a good option in LPEC.

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