Single-port mini-laparoscopic treatment with epidural needle for children with indirect hernia: A report of 682 cases

doi:10.3877/cma.j.issn.1674-392X.2019.03.007

Abstract

Abstract:

Objective

To discuss the clinical value of single-port mini-laparoscopic treatment with epidural needle for children with indirect hernia.

Methods

682 cases of children with indirect inguinal hernia of Fuyang Hospital of Hernia Disease hospital between February 2016 and July 2018 were enrolled in this study. They were treated by high ligation of inguinal hernial sac under single-port mini-laparoscopic surgery with epidural needle and guided suture. To analyze the operation time, blood loss, postoperative complications and recurrence rate for all cases. The clinical data were retrospectively analyzed.

Results

All surgery was successfully completed. Operation time was 8.5 minutes (5 to 12 minutes) in 573 cases of unilateral hernia and 17 minutes (10 to 24 minutes) in 184 cases of bilateral hernia. Bleeding volume during the operation was 0.5 to 2 ml, mean of 1 ml. After a follow-up of 2 to 27 months, no complications and recurrence were presented.

Conclusion

The laparoscopic technique for pediatric indirect inguinal hernia with epidural needle is safe and reliable, with minor invasion and satisfied outcome. It is easy to be learned and performed, which is worth of being generalized.

Key words: Hernia, inguinal, Laparoscopes, Child

Xiaowei Wang, Fei Lu, Dingxian Liu, Songwei Wang, Yuxuan Mo. Single-port mini-laparoscopic treatment with epidural needle for children with indirect hernia: A report of 682 cases[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(03): 217-220.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2019.03.007

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2019/V13/I03/217

Figures/Tables 3

References 21

[1]	李炳根，聂向阳. 儿童腹股沟疝的腹腔镜手术治疗进展[J]. 中华外科杂志, 2013, 51(4): 328-330.
[2]	李炳根，聂向阳，余国忠, 等. 用大圆针行单孔腹腔镜手术治疗小儿斜疝772例报告[J]. 中华外科杂志, 2011, 49(9): 851-852.
[3]	许波涛，顾晓华，王鑫羊. 微型腹腔镜治疗小儿腹股沟斜疝110例分析[J/CD]. 中华疝和腹壁外科杂志(电子版), 2016, 10(1): 61-62.
[4]	Cui Z, Liu Y, Zhang W, et al. Single-port laparoscopic percutaneous double ligation for pediatric inguinal hernias: report of a new technique and early results[J]. Hernia, 2015, 20(4): 579-584.
[5]	郭伟，李铁军，王佾, 等. 自制穿刺针经脐单孔腹腔镜小儿斜疝全腹膜外疝囊高位结扎术325例报道[J/CD]. 中华疝和腹壁外科杂志(电子版), 2017, 11(3): 189-192.
[6]	Li B, Xie H, Gong D. Modified single-port laparoscopic herniorrhaphy for pediatric inguinal hernias: based on 1, 107 cases in China[J]. Surg Endosc, 2012, 26(12): 3663-3668.
[7]	Li C, Xu L, Peng Y, et al. Effects of single-port laparoscopic percutaneous extraperitoneal closure on the orientation of the vas deferens and testicular perfusion and volume: experience from a single center[J]. J Pediatr Urol, 2016, 12(3): 170. e1-170. e5.
[8]	Sachs M, Damm M, Encke A. Historical evolution of inguinal hernia repair[J]. World J Surg, 1997, 21(2): 218-223.
[9]	Rajput A, Gauderer MWL, Hack M. Inguinal hernias in very low birth weight infants: Incidence and timing of repair[J]. J Pediatr Surg, 1992, 27(10): 1322.
[10]	Walsh SZ. The incidence of external hernias in premature infants[J]. Acta Paediatr, 2010, 51(2): 161-164.
[11]	Hadžiselimović F. Embryology of testicular descent and maldescent [M]//Cryptorchidism. Springer Berlin Heidelberg, 1983.
[12]	佘亚雄. 小儿外科学[M]. 北京: 人民卫生出版社, 1997.
[13]	Hassan ME, Mustafawi AR. Laparoscopic flip-flap technique versus conventional inguinal hernia repair in children[J]. JSLS, 2007, 11(1): 90-93.
[14]	Shalaby R, Shams AM, Mohamed S, et al. Two-trocar needlescopic approach to incarcerated inguinal hernia in children[J]. J Pediatr Surg, 2007, 42(7): 1259-1262.
[15]	García-Hernández C, Carvajal-Figueroa L, Suarez-Gutiérrez R, et al. Laparoscopic approach for inguinal hernia in children: resection without suture[J]. J Pediatr Surg, 2012, 47(11): 2093-2095.
[16]	唐剑平，何东北，唐向东, 等. 腹腔镜下小儿腹股沟斜疝高位结扎术45例[J]. 临床小儿外科杂志, 2007, 6(1): 48-49.
[17]	朱彩荣，聂向阳，方锦标, 等. 一孔法腹腔镜小儿腹股沟斜疝高位结扎术的疗效评价[J]. 中华普通外科杂志, 2009, 24(2): 160-161.
[18]	龚独辉，李炳根，莫宇轩, 等. 单孔腹腔镜下大圆针体外二次缝合法治疗小儿腹股沟斜疝的疗效分析[J/CD]. 中华疝和腹壁外科杂志(电子版), 2018, 12(1): 26-29.
[19]	Patkowski D, Czernik J, Chrzan R, et al. Percutaneous internal ring suturing: a simple minimally invasive technique for inguinal hernia repair in children[J]. J Laparoendosc Adv Surg Tech A, 2006, 16(5): 513-517.
[20]	李萌，李索林，于增文, 等. 单孔腹腔镜下改良双钩疝针经皮腹膜外结扎术治疗小儿腹股沟疝[J]. 中华小儿外科杂志, 2012, 33(12): 916-919.
[21]	雷泽华，高峰畏，包平倩, 等. 腹腔内疝囊充填关闭术治疗小儿斜疝[J]. 中华小儿外科杂志, 2014, 35(5): 358-361.

Please choose a citation manager

Content to export