脐内侧韧带在预防大疝囊小儿腹股沟斜疝术后复发中的作用

Medial umbilical ligament in the prevention of recurrence of indirect inguinal hernia with large sac by laparoscopic treatment in children

目的 探讨脐内侧韧带在预防大疝囊小儿腹股沟斜疝术后复发中的作用.方法 回顾性分析具有较大疝囊的小儿腹股沟斜疝178例患儿的临床资料,所有患儿均在小儿腹腔镜下内环口高位缝扎后将同侧脐内侧韧带缝合覆盖内环口以进一步加强.结果 所有病例均于术后1～2 d治愈出院,随访3～18个月,术后无复发及其他并发症.结论 小儿腹腔镜下应用脐内侧韧带加强覆盖内环口治疗大疝囊小儿腹股沟斜疝可进一步减少术后复发,该手术方法安全可行,值得推广.

Objective To study medial umbilical ligament in the prevention of recurrence of indirect inguinal hernia with large sac by laparoscopic treatment in children.Methods The clinical data of 178 cases of indirect inguihal hernia with large sacs in children were retrospectively analyzed.After high suture ligation of the internal ring with pediatric laparoscopy,all of the internal tings were covered with the same side of medial umbilical ligament to further strengthen.Results All cases were discharged from hospital 1～2 days after surgery.No recurrence and no any other complications could be found after following up 3～18 months.Conclusion Pediatric laparoscopic application of medial umbilical ligament to further cover the internal ring could significantly reduce the rate of recurrence for indirect inguinal hernia with large sac.This method of operation waft safe and feasible.It Was worth promoting.