Evaluation and Analysis of the Clinical Effects of Laparoscopic Surgery for Pediatric Direct Inguinal Hernia.

IF 1.1 4区 医学 Q3 SURGERY
Tao Chengpin, Cao Yongsheng, Mao Changkun
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引用次数: 0

Abstract

Objective: To assess both the clinical effectiveness and practical experience of utilizing laparoscopic methods for addressing direct inguinal hernia in the pediatric population. Method: The study collected clinical data from 10 pediatric patients with direct inguinal hernia treated at the Children's Hospital of Anhui Province from July 2014 to July 2023. Among them, there were 8 males and 2 females, with an average age of 43.4 ± 22.0 months. All were initially diagnosed with indirect inguinal hernia before surgery. During the laparoscopic procedures, direct hernia was confirmed. Two cases had undergone open hernial sac high ligation surgery due to misdiagnosis as indirect hernia, resulting in recurrent groin bulges postoperatively. For these cases, laparoscopic direct hernia neck ligation with reinforcement and repair using the inner side of the umbilical ligament was performed. Results: All 10 cases of pediatric patients underwent surgeries smoothly without any need for open conversion. The average surgical duration was 29.8 ± 15.0 minutes, with minimal intraoperative bleeding. Patients were discharged on the first day postoperatively, and no significant surgery-related complications were observed. During the 12-month follow-up period, it was noted that the scar at the umbilical ring was superficial and inconspicuous. There were no occurrences of hernia recurrence, testicular retraction, or atrophy. Conclusion: Laparoscopic treatment for pediatric direct inguinal hernia has demonstrated favorable therapeutic outcomes, ensuring a safe surgical process, rapid recovery, and a low postoperative recurrence rate. The laparoscopic approach, specifically utilizing direct hernia neck ligation with reinforcement and repair using the inner side of the umbilical ligament, proves to be a secure and effective treatment for pediatric direct inguinal hernia. It can be considered as a conventional treatment method.

腹腔镜手术治疗小儿直腹股沟疝气的临床效果评估与分析。
目的:评估利用腹腔镜方法治疗小儿腹股沟直疝的临床效果和实际经验。方法:研究收集了2014年7月至2023年7月期间在安徽省儿童医院接受治疗的10例小儿腹股沟直疝患者的临床资料。其中,男 8 例,女 2 例,平均年龄(43.4±22.0)个月。手术前均初步诊断为间接性腹股沟斜疝。在腹腔镜手术中,证实为直接疝。有两个病例因被误诊为间接疝而接受了开腹疝囊高位结扎手术,导致术后腹股沟反复隆起。对这些病例进行了腹腔镜直接疝颈结扎术,并利用脐韧带内侧进行了加固和修补。手术结果所有 10 例小儿患者均顺利完成手术,无需进行开腹手术。平均手术时间为(29.8±15.0)分钟,术中出血量极少。患者术后第一天即可出院,未发现明显的手术相关并发症。12 个月的随访显示,脐环处的疤痕浅而不明显。没有出现疝气复发、睾丸回缩或萎缩的情况。结论腹腔镜治疗小儿腹股沟直肠疝气取得了良好的治疗效果,确保了手术过程安全、术后恢复快、术后复发率低。腹腔镜方法,特别是利用脐韧带内侧进行疝颈直接结扎加固和修补,被证明是治疗小儿腹股沟直疝安全有效的方法。它可被视为一种常规治疗方法。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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