采用脐侧襞韧带在腔镜下行疝修补术

Inguinal Hernial Repair Using Lateral Umbilical Ligament under Laparoscopy

目的：应用脐侧襞韧带在腹腔镜下行腹股沟疝修补的可行性。方法：选择24例年龄15～30岁，病程不超过1年，外环口直径小于2cm的腹股沟疝志愿患者，在腹腔镜下手术，先行内环口高位结扎，后用自体脐侧韧带修补同侧腹股沟疝。术后随访3个月至4年。结果：所有患者术后无明显并发症，随访期间无1例复发。结论：应用脐侧襞韧带在腹腔镜下作疝修补术，对发病时间短、外环口直径小于2cm的腹股沟疝患者安全可行。

Objective： To explore the feasibility of inguinal hernia repair using lateral umbilical ligament by laparoscopy. Methods： 24 cases of inguinal hernias were selected and treated by laparoscopic hernia repair using lateral umbilical ligament following high ligation of the hernial sac. All patients were between 15 -30 years old ,with course of diseases less than 1 year and the size of external ring less than 2 cm. The time of follow-up was 3 months to four years. Results：No significant complications and recurrence were found in all patients. Conclusion： The laparoscopic inguinal hernia repair using lateral umbilical ligament following high ligation of the hernial sac appeared to be safe and effective for selected cases with a short disease course and small internal ring.