简易腹腔镜小儿腹股沟斜疝内环口结扎术87例体会

目的探讨简易腹腔镜内环口结扎术治疗小儿腹股沟斜疝的临床应用价值。方法回顾分析2004年12月至2007年6月87例腹股沟斜疝患儿行简易腹腔镜内环口结扎术的临床资料。结果87例全部手术成功。手术时间单侧10～20min，双侧20～30min。术后住院2—3d。随访6～24个月，1例巨大开口型疝复发，无阴囊血肿、积气、睾丸炎、睾丸萎缩、戳孔疝等并发症发生。结论简易腹腔镜小儿腹股沟斜疝内环口结扎术具有手术简便，操作器械简单，手术安全、创伤小、恢复快、瘢痕小，复发率低等优点。但应把握适应证，掌握手术方法和技巧。

Observation of therapeutic effects of the simple treatment with laparoscopy for indirect inguinal hernia in eighty-seven children

Objective To explore the clinical value of the simple laparoscopic operation for children indirect inguinal hernia. Methods Eighty-seven cases of indirect inguinal hernia in children from December 2004 to June 2007 were treated using the simple treatment of laparoseopic high ligation of hernia , then the clinical data were analyzed retrospectively. Results All cases were operated successfully. The mean of operative time was 10 to 20 min in unilateral hernia and 20 to 30 min in bilateral hernia . The mean of postoperative hospital stay was 2 to 3 d. All patients had been followed-up for 6 to 24 months, one case of huge opening of hernia recurrence, no scrotum hematoma , scrotum gas, testicular inflammation, testicular atrophy, no poke holes hernia and no other complications were observed in this group. Conclusions Treatment for indirect inguinal hernia in children using laparoscopie technique is simple, effective, no scar, least injury, low recurrence rate and safe, and in need of simple surgieal instruments. But the indications and methods and skills of surgery should be attention.