Training Model in Paediatric Surgical Technique Published in International Journal
João Moreira Pinto, paediatric surgeon at Hospital da Luz Arrábida and Hospital da Luz Guimarães, is the author of an article published in the Journal of Laparoendoscopic &Advanced Surgical Techniques, renowned specialty review, where he describes a model of training to learn the laparoscopic correction technique PIRS (Percutaneous Inguinal Ring Suturing). This is a minimally invasive technique allowing to correct inguinal hernias in children without scars.
Between 1 to 5% children develop inguinal hernias, characterized by painful tumefaction on the groin. Considering the risk of complications – such as incarceration, inflammation, occlusion and intestinal ischemia –, surgery is always the option of treatment. Laparoscopic correction consists in inserting a camera or probe through the navel and closing the hernia, without scars.
This technique was introduced in Portugal about five years ago, but very few hospitals use it. Besides its obvious aesthetic advantage, laparoscopic correction is better than open surgery, for it allows the detection of an asymptomatic/silent hernia on the opposite of the site proposed for surgery, avoiding a second intervention. Furthermore, the laparoscopic technique reduces the time of anaesthesia, when the hernia is bilateral, and reports an inferior number of operative wound infections and lower incidence of testicular atrophy and cryptorchidism (ectopic testicle) after surgery.