title: Is ligation of hernial sac during orchiopexy mandatory?
abstract: OBJECTIVE
  Traditionally, ligation of hernial sac during orchiopexy is considered mandatory to prevent postoperative development of hernia. A prospective study was carried out to see if it is actually required based on the fact that any peritoneal defect closes within 24 hours by metamorphosis of the in situ mesodermal cells.
  
  
  METHODS
  Fifty cases of undescended testis, age ranging from eight months to 12 years were enrolled. All of them underwent standard orchiopexy without ligation of the hernial sac.
  
  
  RESULTS
  Follow up of all cases ranged between 1.5 years to three years. Not a single case was reported with evidence of hernia.
  
  
  CONCLUSIONS
  It is unnecessary to ligate the hernial sac during orchiopexy.
authors.affiliation: Department of Pediatric Surgery, Medical College and Hospital, Kolkata, West Bengal, India.
authors.forename: Veena
authors.initials: V
authors.lastname: Kumari
authors.forename: Nilay
authors.initials: N
authors.lastname: Biswas
authors.forename: Nilanjan
authors.initials: N
authors.lastname: Mitra
authors.forename: Hiralal
authors.initials: H
authors.lastname: Konar
authors.forename: Dipak
authors.initials: D
authors.lastname: Ghosh
authors.forename: Sukanta K
authors.initials: SK
authors.lastname: Das