الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
In this study, laparoscopic dissection and ligation has been compared to open herniotomy in three main points which are the operative time and complications, post-operative complications, detection of the contralateral hernia, scar and parents’ satisfaction. Regarding the operative time, we still can say that open surgical herniotomy helps to decrease the operative time in unilateral virgin herniotomy, however this is reversed in bilateral and recurrent inguinal hernia as laparoscopic dissection and ligation has proven to be more efficient time saving option. Although open surgical herniotomy showed more post-operative complications than laparoscopic dissection and ligation, these complications are statistically insignificant. It has been clear during the study that laparoscopic dissection and ligation has an advantage over open herniotomy which is detection of the contralateral patent processus vaginalis. Taking into consideration that not every patent processus vaginalis will form indirect inguinal hernia, there are still some doubts about the efficacy of repair of the patent processus vaginalis as there is still no criteria available to show which patent processus vaginalis should be repaired. Nevertheless, repair of every patent processus vaginalis will definitely lead to increase the operative time and overtreatment of some patients. In our study we used FLACC scale of pain proved that there is no significant difference between the two techniques in the post-operative pain. Although open herniotomy is associated with more layers to be incised, the pain result from the pneumoprotenium during laparoscopy cannot be ignored. There is no doubt that laparoscopic herniotomy scar is invisible or barely visible if compared to open herniotomy, which result in much more parents’ satisfaction.