IS THERE ANY LIMITATION OF THE PERCUTANEOUS INTERNAL RING SUTURING (PIRS) TECHNIQUE, OR CAN IT BE WIDELY USED IN SURGERY? dr.aleksmaksymenko@gmail.com

 

IS THERE ANY LIMITATION OF THE PERCUTANEOUS INTERNAL RING SUTURING (PIRS) TECHNIQUE, OR CAN IT BE WIDELY USED IN SURGERY?

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Ukraine

Oral or Poster

Aim. Based on our experience, to analyze and evaluate the possibilities of using the PIRS technique in various surgical pathologies.

From 2021-2025 PIRS technique was applied to the following pathologies: 128 children with inguinal hernia and communicating hydrocele, 3 with retrosternal hernias of Morgagni and Larrey, 4 with epigastric hernias, 10 boys with intra-abdominal testis and 4 adult patients with a ventral hernia.

In all cases of inguinal hernia and communicating hydrocele, we used the double PIRS technique. We used a similar approach to close the epigastric defect with separate knotted sutures. During retrosternal hernias, we used a grasper to pull the diaphragm and apply subcutaneous mattress sutures by PIRS. By the same technique, in some boys with intra-abdominal testis, using the staged laparoscopic traction orchiopexy by Shehata, we fixed the testicle to the abdominal wall. In adult patients with ventral hernias, subcutaneous sutures by PIRS were placed to fix the mesh and prevent its primary dislocation. We also use this technique for closing big trocar punctures. We did not observe any intraoperative complications or technical difficulties when using the PIRS method.

The simplicity of the PIRS technique allows it to be used during various surgical pathologies in children and adult patients, and to be the method of choice for laparoscopic correction of inguinal hernias and communicating hydrocele. The PIRS is a unique, safe, fast, simple to perform, and economically inexpensive technique.