Single-Port Laparoscopic Extraperitoneal Repair of Pediatric Inguinal Hernias and Hydroceles by Using Hernia Crochet Needle With a Cannula.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-04-01 Epub Date: 2024-01-05 DOI:10.1177/15533506241226497
Zhixiong Lin, Lei Yan, Zhihao Fang, Dianming Wu, Mingkun Liu, Yifan Fang
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引用次数: 0

Abstract

Purpose: Numerous modifications laparoscopic techniques have mushroomed in recent years. Here we describe a modified technique of extracorporeal ligation of processus vaginalis in children using a hernia crochet needle with a cannula.

Methods: Processus vaginalis repair was carried out on patients diagnosed with inguinal hernia or hydroceles using this novel technique between June 2021 and June 2022. The processus vaginalis was closed extracorporeally using a hernia crochet needle with a cannula. In the presence of patent processus vaginalis, the same procedure would be performed on the contralateral side. The primary outcomes was the safety and efficiency of this modified procedure, and the secondary outcomes was the post operative complications.

Results: A total of 212 (165 inguinal hernia and 47 hydroceles) children were corrected by this novel technique. The mean operation time was 27.49 min for unilateral inguinal hernia cases and 36.55 min for bilateral cases. The unilateral hydrocele median operation time was 27.83 min and that for the bilateral cases was 37.30 min. During the mean of 10.92 months of follow-up, there was only a boy subject to a metachronous contralateral occurrence of hernia 10 months after surgery, and no other complications (knot reactions, testicular atrophy, postoperative hydrocele or iatrogenic) have been observed yet.

Conclusion: This study shown a unique procedure with using a hernia crochet needle with a cannula to be simple, safe, and effective in managing inguinal hernias and hydroceles in the pediatric population.

使用带套管的疝气钩针单孔腹腔镜腹膜外修复小儿腹股沟疝和腹股沟积水。
目的:近年来,许多改良腹腔镜技术如雨后春笋般涌现。在此,我们介绍一种使用带套管的疝气钩针对儿童阴道前突进行体外结扎的改良技术:方法:在 2021 年 6 月至 2022 年 6 月期间,使用这种新技术对确诊为腹股沟疝或鞘膜积液的患者进行了阴道前突修补术。使用带套管的疝气钩针在体外闭合阴道突。如果存在通畅的阴道突,则在对侧进行同样的手术。主要结果是这种改良手术的安全性和效率,次要结果是术后并发症:结果:共有 212 名儿童(165 名腹股沟疝和 47 名鞘膜积液)接受了这项新技术的矫正。单侧腹股沟疝的平均手术时间为 27.49 分钟,双侧为 36.55 分钟。单侧鞘膜积液的中位手术时间为 27.83 分钟,双侧鞘膜积液的中位手术时间为 37.30 分钟。在平均 10.92 个月的随访中,只有一名男孩在术后 10 个月发生了对侧疝气,尚未发现其他并发症(结节反应、睾丸萎缩、术后鞘膜积液或先天性):这项研究表明,使用带套管的疝气钩针进行治疗是一种简单、安全、有效的治疗小儿腹股沟疝气和鞘膜积液的独特方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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