改良一孔法腹腔镜治疗小儿腹股沟斜疝

目的：探讨改良一孔法腹腔镜手术治疗小儿腹股沟斜疝的应用价值。方法：用普通外科缝针在腹腔镜下荷包缝合内环口治疗小儿腹股沟斜疝。结果：治疗小儿斜疝105例,单侧83例,双侧22例。其中隐匿性疝11例。单侧疝手术时间9～15min,平均12min,双侧疝26min,无阴囊水肿、感染、睾丸萎缩、医源性隐睾等并发症发生。术后随访3～24个月,无复发。结论：改良一孔法腹腔镜治疗小儿腹股沟斜疝安全、可靠、美观且操作简便,值得基层医院推广应用。

Modified one port laparoscopic operation for indirect inguinal hernia in children

Objective:To explore the value of modified one port laparoscopic operation for indirect inguinal hernia in children.Methods:In the laparoscopic surgery,the internal ring was purse-string sutured by surgical needle.Results:The operations were successfully performed in 105 cases,in which there were 83 unilateral hernia,22 bilateral hernia and 11 latent hernia.The operation time of unilateral hernia operation was 9-15min,averaged 12min and it was 26min for in bilateral hernia.No complications occured such as scrotum edema,infection,testicular atrophy,iatrogenic cryptorchism and so on.No recurrence was found after 3-24 months follow-up.Conclusions:Modified one port laparoscopy is a safe cosmetic easy and promising technique,which should be generalized in primary hospital.