微型腹腔镜治疗小儿腹股沟斜疝62例体会
微型腹腔镜,,微型腹腔镜；腹股沟斜疝；小儿,1资料与方法,2结果,3讨论,参考文献
【摘要】 目的：探讨微型腹腔镜治疗小儿腹股沟斜疝的可行性。方法：应用微型腹腔镜，采用自行设计的带线针和Endoclose与操作钳配合，运用提插式缝合方法，高位荷包缝扎内环口周边腹膜，治疗小儿腹股沟斜疝62例。结果：62例手术均成功，手术时间10～15min，住院2～3d。术后随诊1～28月无复发。结论：微型腹腔镜下高位荷包缝扎内环口治疗小儿腹股沟斜疝具有损伤小、恢复快、住院时间短、对侧再发率低的优点。【关键词】微型腹腔镜；腹股沟斜疝；小儿
Treatment for young children′s indirect inguinal hernia with minilaparoscope in 62 Cases
LIU Junbo,ZHANG Fengxia,ZHENG Liguo,et al.
Dept.of Surgery,the Beipiao Second People′s Hospital,Beipiao 122100,China
【Abstract】 Objective:Discuss the feasibility of treating young children′s indirect inguinal hernia with minilaparoscope. Methods :Using minilaparoscope, selfmade suture pulling kirschner wire, endoclose and operating clamp, with in and out suture method, top pursestring suturing the peritoneum around internal inguinal ring. 62 cases of young children′ s indirect inguinal hernia were treated, 52 of them were unilateral and 10 were bilateral. Results : All of 62 cases of operations were succeeded. Each operation lasted for 1015 minutes. It is not necessary to suture the skin. Hospitalized time was 23 days.No relapse was found in 128 months post operation follow up. Conclusions:The treatment of young children′s indirect inguinal hernia with laparoscope,that top pursestring suturing internal inguinal ring, has minor wound,fast recovery,short hospitalized time,low recurrence in the opposite side. ......
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