# Laparoscopic Transabdominal Pre-peritoneal Repair of a Bilateral Inguinal Hernia in a Pediatric Female Patient in Pakistan: A Case Report

## TL;DR

This paper reports the first known case of a bilateral inguinal hernia in a young girl from Pakistan, successfully treated using a laparoscopic surgical technique.

## Contribution

The novelty lies in presenting the first documented case of a pediatric female bilateral inguinal hernia repaired via laparoscopic TAPP in Pakistan.

## Key findings

- A pediatric female patient in Pakistan was successfully treated for a bilateral inguinal hernia using laparoscopic TAPP.
- The case highlights the need for global evidence-based guidelines for bilateral hernia repair.
- This case adds to the limited literature on bilateral inguinal hernias in female pediatric patients.

## Abstract

Inguinal hernias, although a common occurrence, pose a significant threat to the surgical community on account of their complexity and socioeconomic consequences. Bilateral inguinal hernias, which are a rare subtype of inguinal hernias, in particular, are problematic since there are no existing definitive international guidelines for their repair. It is estimated that between 8% and 30% of inguinal hernia patients have bilateral hernias, but there is still no clarity as to whether a bilateral hernia represents a special type of inguinal hernia or two different hernias in one patient. The transabdominal pre-peritoneal repair (TAPP), totally extra-peritoneal repair (TEP), and Lichtenstein repair techniques are commonly employed depending on the resources and surgical expertise available, but there is a need to conduct large-scale, prospective, randomized-controlled trials to guide the formation of evidence-based guidelines that could be followed globally. Herein, we present the first known case of a bilateral inguinal hernia in a female pediatric patient repaired by the laparoscopic TAPP technique from Pakistan.