改良自制缝合针在小儿腹腔镜斜疝手术中的应用

Application of Modified Self-Made Suture Needle in Pediatric Laparoscopic Inguinal Hernia Repair

目的探讨改良的自制缝合针在小儿腹股沟斜疝腹腔镜治疗中的疗效及并发症。方法 2010年2月-2012年5月阳春市妇幼保健院应用改良的自制缝合针为108例患儿行腹腔镜小儿腹股沟斜疝疝囊高位结扎术。结果手术过程顺利,平均手术时间(19.853±5.006)min,切口不需缝合。除6例有皮下异物感外,无明显并发症。平均住院(3.4±1.7)d。随诊1个月以上患儿症状均消失,术后无疤痕。结论应用改良的自制缝合针行腹腔镜小儿腹股沟斜疝疝囊高位结扎术,创伤小,手术时间及住院时间短,术后恢复快,可同时发现及处理隐性疝、鞘状突未闭,复发率低,并发症少,且可有效地防治复发,因而是治疗小儿外科疾病的一种创伤小、安全性高、疗效确切的有效手段,值得基层医院推广应用。

Objective To investigate the curative effect and complication of modified self-made suture needle for indirect inguinal hernia in children.Methods The laparoscopic high ligation of the indirect hernia sac by using modified self-made suture needle was performed in 108 cases of pediatric indirect inguinal hernia in our hospital.Results The surgery went smoothly with a mean operation time of（19.853±5.006）min.The incisions need not to be stitched.6 cases were with subcutaneous foreign body sensation,no other complications were found.The average length of hospitalization time was（3.4±1.7）d.One-month follow-up showed that the symptoms disappeared,there was no postoperative scar.Conclusion The laparoscopic high ligation of the indirect hernia sac by using modified self-made suture needle is with superior characteristics,such as little trauma,short operation time and hospitalization time,quickly postoperative recovery,lower recurrence rate,few complications,it can also find and treat a hidden hernia and unclosed processus vaginalis.So it is worth the application in basic unit hospital.