特殊器械行腹腔镜小儿腹股沟疝修补术36例报告

Report of 36 cases of special equipment for laparoscopic inguinal hernia repair in children

目的：探讨特殊器械行腹腔镜小儿腹股沟疝修补术的临床应用价值。方法：回顾分析2011年1月至2012年1月使用特殊器械（包括自制器械）为36例患儿行腹腔镜下腹股沟疝内环口结扎修补术的临床资料。结果：36例手术均顺利完成,单侧手术时间7~16 min;术中发现对侧隐性疝7例,占19.4%,均同时予以修补;无并发症发生,术后第2天即可出院。随访3~15个月,无一例复发。结论：采用特殊器械行腹腔镜小儿疝修补术切口小、损伤小、疼痛轻微、康复快、住院时间短、操作简便、安全、疗效确切,可发现对侧隐性疝并同时予以修补,具有较高的临床应用价值。

Objective：To evaluate the clinical value of special equipment for laparoscopic inguinal hernia repair in children.Methods：A retrospective review was performed on collected data of laparoscopic inguinal hernia inner ring repair with special equipment（including homemade instruments） in 36 children from Jan.2011 to Jan.2012.Results：All patients were treated successfully.Unilateral operation time was 7-16 min.Contralateral recessive hernias were found in 7 cases（19.4%） and repaired during operation.All patients were discharged 2 days after surgery.No recurrence was found during 3 to 15 months follow-up.Conclusions：laparoscopic inguinal hernia repair by special equipment is easy,safe and effective,with smaller incision,less trauma,less pain,quicker recovery,shorter operative time and hospital stay,and can find contralateral recessive hernias to repair,having great clinical value.