摘要
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。
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.
出处
《腹腔镜外科杂志》
2008年第3期234-235,共2页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
儿童
腹腔镜术
Hernia,inuginal
Child
Laparoscopy