Patients and methods
peritoneal defect, hernia, hydrocele
RECURRENCE, GROUP B, SECONDARY, TESTICULAR ATROPHY, SEPARATION
This prospective controlled randomized trial was conducted et al.-Azhar University Hospital’s, Department of Pediatric Surgery in Cairo, Egypt, between January 2020 and December 2022. The study design was approved by our medical school's Institutional Review Board [IRB] No. 0000395, and informed consent was obtained from the patient’s parents. Patients were randomly assigned to either Group A or Group B. Patients in Group A underwent needlescopic separation of the neck of the sac together with peritoneal defect closure, whereas patients in Group B underwent needlescopic separation alone without peritoneal defect closure. Children of both sexes with CIH who underwent CIH repair by needlescopic separation of the neck of the sac with or without peritoneal defect suturing over the IIR were eligible for inclusion. Patients who underwent different forms of hernia repair, including needlescopy with purse-string IIR without peritoneal division or muscular arch repair, were excluded from the study. The operation time was the primary outcome of this study. The secondary outcomes were recurrence, testicular atrophy, hydrocele development, and iatrogenic testicular ascent.