OBJECTIVE: To summarize experiences and discuss the reasons for postlaparoscopic indirect inguinal @entity547 recurrence in @entity1 . @entity1 AND METHODS: From June 2008 to June 2013, 6120 laparoscopic inguinal @entity547 repairs were performed in our hospital involving 5382 males and 738 females. The average age was 3.1 years. When @entity516 was established, the laparoscopic lens and a clamp were placed into the upper and lower edges of the umbilicus, respectively. Then on the surface projection of the unclosed internal ring, a sled-like needle with suture was circled and tightened on the internal ring at the extraperitoneum. RESULTS: @entity1 were followed up for between 6 months to 5 years. A total of 21 cases developed recurrent @entity547 (0.3%). Three main surgical causes of recurrence were concluded: (1) the internal inguinal ring was weak and significantly expanded, especially underneath the internal ring, which led to the peritoneum nearby the internal ring sliding through; (2) a sled-like needle repeatedly perforated the peritoneum, or some of the peritoneum left was unsutured, usually causing a hydrocele; and (3) there was an unexpected release of the ligature around the hernial ring. The majority of recurrent @entity547 could be cured laparoscopically (n=18), but a small number needed an open repair (n=3). CONCLUSIONS: Recurrent @entity547 appeared @entity169 in a small number of @entity1 . The main preventive measures were removal of risk factors for @entity547 and an appropriate surgical approach.

Reasons for Recurrence After the Laparoscopic Repair of Indirect Inguinal Hernia in XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'PATIENTS'] @entity516 :: ('MESH:D011027', 'Disease') :: ['pneumoperitoneum'] @entity169 :: ('MESH:D006552', 'Disease') :: ['postlaparoscopic inguinal hernia'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia still', 'hernia', 'hernias']
@entity1 :: (9606,Species) :: ['Children']
