腹腔镜下体外疝囊高位结扎术治疗小儿斜疝的疗效

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Abstract Objective To investigate the therapeutic effects of double-port laparoscopic percutaneous extraperitoneal closure using epidural puncture needles for indirect inguinal hernia in children.Methods Between January 2015 and December 2017, 217 children with indirect inguinal hernia were treated. According to the surgical methods, these patients were divided into the laparoscopic group (observation group, 146 children) and the traditional open group (control group, 71 children).Results Contralateral occult indirect inguinal hernias were found in 35.9% of the children in observation group. There was no significant difference in the duration of surgery, incision infections or iatrogenic cryptorchidism between the two groups, but there was significant difference in the length of hospital stay(2.3±0.1 vs 2.6±0.1, P=0.002), scrotal edema (0 vs 2.8%, P=0.045) and total complications (0 vs 4.2%, P=0.014) between the two groups.Conclusions This method is safe, simple, easy to learn, less traumatic, with fewer complications and a low recurrence rate. It is a better method for minimally invasive surgery of inguinal hernia in children, and is worthy of clinical application.

Key words： laparoscope indirect inguinal hernia epidural puncture needle

Received: 10 November 2018

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R656.21

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	Articles by authors
	XIE Zhihua
	DU Jianxin
	JI Yong
	LI Yunhe
	and LV Jian

Cite this article:

XIE Zhihua,DU Jianxin,JI Yong等. Therapeutic effect of laparoscopic percutaneous extraperitoneal closure against indirect hernia of children[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(2): 132-134.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2019/V30/I2/132

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