微型腹腔镜小儿腹股沟疝修补改良方法的研究

Research on Improved Treatment of Using Laparoscope on Child Groin Hernia

目的:探讨改良对小儿腹股沟疝更加微创、简易、有效的外科治疗方法。方法:利用微型腹腔镜的监视下,刺入带缝合线的Endoclose针,穿过同侧脐内襞下方,将其拉至覆盖疝内环口处固定,使脐内侧襞覆盖同侧疝内环口。结果:治疗32例,37个疝内环口。病儿年龄15月龄至11岁。术后复查4-16月,无术后复发及其它不适。结论:腹腔镜下采用脐内侧襞覆盖内环口的方法治疗小儿腹股沟疝,是一种有效、操作简易、手术风险更小的微创外科治疗方法。

Objective： To research an improved, minimally invasive, simple and effective surgery method in child groin hernia. Method： Monitoring by micro - laparoscope, piercing Endoclose needle with suture through the lower part of the internal crenulafion of the navel at the same side, pull it to cover the collar cut of the hernia and fix it, ensure the internal crenulation of the navel cover the collar cut at the same side. Result： 32 cases cured and 37 collar cut inside the hernia. The age of the children is between 15 months to 11 years. Found no recurrence or other discomfort in the check of 4 - 16 months after the operation. Conclusion： Using laparoscope to pull the internal crenulation of the navel to cover the collar cut is a safe, simple ＆ less risk minimally invasive surgery method in the treatment of child groin hernia.