腹腔镜疝修补术治疗小儿腹股沟疝的临床观察

目的探讨腹腔镜疝修补术治疗小儿腹股沟疝的临床效果。方法采用单个Trocar孔腹腔镜手术治疗1～12岁的小儿腹股沟疝36例41侧。其中单侧疝31例，双侧疝5例。单侧疝中有4例隐性疝。均在腹腔镜直视下行疝内口缝扎术。结果手术时间为12～25（平均17）min。所有患儿在术中和术后均未发生并发症。全部随访6～24（平均17．6）个月，无复发。结论腹腔镜疝修补术治疗小儿腹股沟疝切口小，损伤小，疼痛轻，恢复快，操作简单，能做到真正意义的微创，可同时用于处理腹股沟隐性疝和双侧腹股沟疝，值得临床推广应用。

Clinical observation on laparoscopic repair of inguinal hernia in children

Objective To investigate the clinical effect of laparoscopic repair of inguinal hernia in children. Methods 41 inguinal hernias in 36 children between 1 -12 years of age were treated by laparoscopic surgery using a single troear hole. Of 36 children, 31 cases showed unitaleral hernia, 5 cases presented bilateral hernias. Of the unitaleral, hernias, 4 were occult hernias. All the patients were treated by purse-string suture around the internal ring under direct vision with laparoseopy. Results Operative time was from 12 to 25 （average17） minutes. There were no intra-or post-operative complications. All were followed up for 6 -24 （average17.6） months, with no recurrences. Conclusion Laparoseopic hernia repair in children is less traumatic with less incision, slighter pain, faster postoperative recovery, simpler operation, and is a real micro-traumatic operation. It can also be used for the treatment of occult and bilateral inguinal hernias and can be widely used in clinic.