**9.4 SIPES inguinal herniorrhaphy**

Our technique for inguinal herniorrhaphy is percutaneous internal ring suturing (PIRS). The child is placed on supine position, and the surgeon stands on contralateral site of hernia. Laparoscopic camera is inserted through supra umbilical incision. Both sides of deep inguinal ring are explored. Stab wound is placed on the skin crease above deep inguinal ring. Epidural needle inserted in pre-peritoneal area with looped 4/0 nonabsorbable suture. In female the suture surrounds the sac entirely. In boy the needle enters the peritoneum adjacent to vas or vessels for exchange of the suture.
