title: Does the internal inguinal ring need closure during laparoscopic orchiopexy with Prentiss manoeuvre?
abstract: BACKGROUND
  Undescended testis is a common problem, which is prevalent in 3 % of male infants. This study aimed to determine the effect of leaving the deep inguinal ring (DIR) without closure during laparoscopic orchiopexy (LO), with regard to post-operative hernia formation and other outcomes.
  
  
  METHODS
  From 2012 to 2014, 63 testicular units were managed with laparoscopy for non-palpable testis (NPT). Diagnostic laparoscopy was performed for all NPTs, and when they were intra-abdominal (42 testicular units), the DIR was left open after mobilization of the testis into the scrotum medial to the inferior epigastric vessels (Prentiss manoeuvre). We followed up these cases to check for hernia formation.
  
  
  RESULTS
  The ages ranged from 10 months to 11 years with mean age at 3.7 years. Clinically, no cases presented with hernia, hydrocele or any other complications during a mean follow-up period of 34.4 months.
  
  
  CONCLUSIONS
  Closing the peritoneum over the DIR might be omitted in LO with Prentiss manoeuvre, saving operative time and effort. By doing so, there is no risk of hernia formation.
authors: Department of Pediatric Surgery, Institute of Maternal and Child Health, Government Medical College, Kozhikode, Kerala, 673008, India. drsharat77@gmail.com.
authors: Sarath Kumar
authors: SK
authors: Narayanan
authors: Department of Pediatric Surgery, Institute of Maternal and Child Health, Government Medical College, Kozhikode, Kerala, 673008, India.
authors: Jagadeesh N
authors: JN
authors: Puthenvariath
authors: Department of Pediatric Surgery, Institute of Maternal and Child Health, Government Medical College, Kozhikode, Kerala, 673008, India.
authors: Prathap
authors: P
authors: Somnath
authors: Department of Pediatric Surgery, Institute of Maternal and Child Health, Government Medical College, Kozhikode, Kerala, 673008, India.
authors: Arun
authors: A
authors: Mohanan
mesh_terms: D002648:Child; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery*; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000209:etiology*; D006801:Humans; D007223:Infant; D007264:Inguinal Canal / Q000601:surgery*; D008297:Male; D056126:Orchiopexy / Q000009:adverse effects* / Q000379:methods*; D010537:Peritoneum / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies
keywords: Laparoscopy; Orchiopexy; Post-operative hernia; Prentiss manoeuvre