title: Subcutaneous endoscopically assisted ligation (SEAL) of the internal ring for repair of inguinal hernias in children: a novel technique.
abstract: Subcutaneous endoscopically assisted ligation (SEAL) is a technique for high ligation of the patent processus at the internal ring without a groin incision or dissection of the vas and vessels. Under endoscopic visualization through a single umbilical port, a suture is guided extraperitoneally around the internal ring, avoiding the vas and vessels. The safety, efficacy (recurrence risk), and cost-effectiveness of this unproven procedure must be tested against standard open repair in a trial.
authors: Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco, CA 94143-0570, USA. pedsurg@surgery.ucsf.edu
authors: Michael R
authors: MR
authors: Harrison
authors: Hanmin
authors: H
authors: Lee
authors: Craig T
authors: CT
authors: Albanese
authors: Diana L
authors: DL
authors: Farmer
mesh_terms: D003362:Cost-Benefit Analysis; D004724:Endoscopy / Q000191:economics / Q000379:methods*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007264:Inguinal Canal / Q000601:surgery; D008026:Ligation / Q000379:methods; D012008:Recurrence; D012307:Risk Factors; D013536:Suture Techniques; D014472:Umbilicus