腹腔镜下应用硬膜外穿刺针治疗小儿腹股沟斜疝的疗效观察

目的：探讨腹腔镜下应用硬膜外穿刺针治疗小儿腹股沟斜疝的安全性和有效性。方法对88例腹股沟斜疝患儿在腹腔镜下用硬膜外穿刺针实施内环口缝合高位结扎术。结果87例患儿在腹腔镜下完成疝内环口高位结扎术，1例中转开腹手术。单侧平均手术时间20 min，双侧平均手术时间约30 min，术后1～2 d出院。无阴囊血肿发生。术中探查发现对侧隐匿性疝33例，一并行疝囊高位结扎术。术后随访5～22个月，无一例复发。结论腹腔镜下应用硬膜外穿刺针治疗小儿腹股沟斜疝，住院时间短，术后恢复快，安全性高，创伤小，并发症少，值得临床推广。

The application of epidural anesthesia needle in laparoscopic high ligation for indirect inguinal hernia in children

Objetive To explore the effect of lining through laparoscope on children’s indirect inguinal hernia. Methods We summarized the method and clinical value of 88 cases of laparoscopic operation of high ligation of hernia sac. Results 87 cases with laparoscopic treatment for pediatric inguinal hernia were done under high ligation of hernia inguinal ring.The average operation time for one side was 20 min,for two side was 30 min.They were discharged from hospital after 1～2 d.Conversion to open surgery,there were no scrotal hematoma.Exploratory surgery found occult contralateral hernia in 33 cases,a high ligation of hernia sac in parallel. All the patients were followed up for 5～22 months.Recurrence was not found. Conclusion Laparoscopic repair for inguinal hernia in children could be characterized by advantages of minimal invasion,faster recovery,good cosmetics,less recurrence and readiness for intra-operative exploration,and thereby warrants its widespread use.