Laparoscopic Findings of Rare Pediatric Inguinal Hernias

M. Ohno, Y. Fuchimoto, A. Fujino, Toshihiko Watanabe, Y. Kanamori
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Abstract

Pediatric inguinal hernias are caused to the patency of the processus vaginalis (PPV). The principle for the repair of indirect inguinal hernias in children consists of complete ligation of the PPV. Laparoscopic percutaneous extraperitoneal closure (LPEC) has spread rapidly since it was reported by some groups from around 1998, and the number of institutions adopting this method as a standard procedure for pediatric inguinal hernia is increasing in Japan. Since the closure of PPV by laparoscopic surgery is popular, rare hernias in children can be observed from the abdominal cavity. We present the laparoscopic findings of rare pediatric inguinal hernias and report their experience.
罕见小儿腹股沟疝的腹腔镜检查
小儿腹股沟疝是由阴道突(PPV)通畅引起的。儿童腹股沟斜疝的修复原则包括完全结扎PPV。腹腔镜下经皮腹膜外缝合术(LPEC)自1998年前后被一些研究小组报道后迅速推广,在日本采用该方法作为小儿腹股沟疝标准手术的机构也在不断增加。由于腹腔镜手术关闭PPV是很普遍的,从腹腔可以观察到罕见的儿童疝。我们报告罕见小儿腹股沟疝的腹腔镜检查结果,并报告他们的经验。
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