摘要
目的:介绍腹腔镜治疗小儿斜疝的经验和体会。方法:应用腹腔镜、自制的带线缝针和体外缝合体外打结技术为500例小儿腹股沟斜疝行疝囊高位结扎术,总结临床资料进行分析。、结果:1例复发,治愈率99.8%,复发率0.2%,1例患者脐缘小切口大网膜突出,无血肿、出血等并发症。结论:应用腹腔镜技术治疗小儿腹股沟斜疝安仝、有效、简单、快捷、损伤小、疤痕细微,比传统的高位结扎术优越。
Objective To intrca-luce laparoscopic herniotomy for indirect inguinal hernia in children. Methods Five hundred chihlren with indirect inguinal hernias were treated using laparoscopic instruments, a special needle and a technique of extraabdominal suture and high bgation of the hernia sac. The clinical data were snmmarized and analyzed retrospectively. Results Hernias recurred in 1 (ases. The cure rate of this group was 99.8 %;the recurrence rate was 0.2 %for the patients with a followup from one week to two years. Omentueele at umbilical incision was diseovered in 1 eases. No hematoma, no bleeding and no other complications were observed in this group. Conclusion The Ireatment of indirect inguinal hernias in children using the laparoscopie technique is simple, safe, effective,