自制穿刺针微型腹腔镜小儿腹股沟斜疝疝囊高位结扎术

Mini-laparoscopic closure of internal orifice of indirect inguinal hernia for children with self-made micro-needle

目的:探讨自制穿刺针行微型腹腔镜小儿腹股沟斜疝疝囊高位结扎术的手术效果。方法:应用注射针头代替腹壁穿刺针行微型腹腔镜疝囊高位结扎术30例,其中单侧25例,双侧5例。结果:30例手术均获成功,平均住院3d,术后出现脐部切口疝1例,随访4～30个月无复发。结论:自制穿刺针微型腹腔镜小儿疝囊高位结扎术安全可靠,经济实用,操作简单,疗效满意。

Objective：To explore the effects of mini-laparoscopic closure of internal orifice of indirect inguinal hernia for children with self-made micro-needle. Methods：Thirty cases that utilized injection needle instead of the abdominal puncture needle underwent mini-laparoscopic closure of internal orifice,in which 25 cases were unilateral, and 5 cases were bilateral. Results： All of the 30 operations were successful. The average hospitalization was three days. After oepration,one case of umbilical incision hernia happened, and without recurrence in the follow up of four to 30 months. Conclusions： Mini-laparoscopic closure of internal orifice of indirect inguinal hernia for children with self-made micro-needle is safe, reliable, economical, simple and satisfactory.