目的探讨应用自制疝针行腹腔镜下疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果。方法在疝内环口上缘体表投影处皮肤做2 mm切口,采用自制疝针(直径1.5 mm骨科克氏针,前端锤平磨锋利并钻孔穿7号丝线)行腹腔镜疝囊高位结扎术治疗160例腹股沟斜疝患儿。结果160例患儿均手术成功,无中转开放手术;术后随访1年,复发1例,出现线结反应2例。结论自制疝针行腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝创伤小、恢复快、并发症少,操作简便易学,值得临床推广应用。
ObjectiveTo investigate the effect of homemade hernia needle in laparoscopic hernia sac high ligation in the treatment of pediatric inguinal hernia. MethodsAfter making a 2 mm incision in the skin of the upper edge of the inner rim of the hernia,160 cases with oblique inguinal hernia were treated by laparoscopic hernia sac high ligation,using Homemade hernia needle(Diameter 1.5 mm, kirschner wire, the front end of the kirschner wire was milled sharp and drilled holes in the 7 thread). ResultsBoth 160 cases were successfully operated, no conversion to open surgery; postoperative follow-up was carried out for 1 years, recurrence in 1 cases, 2 cases of line node reaction. ConclusionsHomemade hernia needle laparoscopic hernia sac ligation in the treatment of pediatric inguinal hernia with small trauma, quick recovery and less complication, easy to operate, it is worthy of clinical application.