临床小儿外科杂志2017，Vol.16Issue(3)：269-272,276,5.DOI:10.3969/j.issn.1671-6353.2017.03.017
改良腹腔镜技术在小儿腹股沟巨大嵌顿性斜疝中的应用
Modified laparoscopic closure of internal orifice for giant incarcerated hernia in children
摘要
Abstract
Objective To evaluate the clinical value of laparoscopic techniques for giant incarcerated hernia in children.Methods The clinical data of 52 children with giant incarcerated hernia between February 2012 and February 2016 undergoing emergency modified laparoscopy was retrospectively analyzed.Operations were performed under general anesthesia with tracheal intubation.After laparoscopic assisted manual reduction,laparoscopic double purse-string plus suture with medical umbilical flap high-ligation of internal ring (modified) was performed.If reduction was unsuccessful,a small incision 1.5 cm in length was made in groin outer surface projection for releasing the lesion.Results Modified laparoscopy was successfully performed in al1 52 cases.And laparoscopic assisted reduction was completed in 36 cases with an operative duration of (35.4 ± 9.16) min and a mean postoperative hospitalization stay of (4.5 ± 1.5) days.Laparoscopic embedded Bolton loosening was performed in 16 cases with an operative duration of (54.9 ± 13.6) min and a mean postoperative hospitalization stay of(5.5 ± 1.7)days.There was no injury of seminiferous duct or spermatic vessel.No postoperative scrotal hematoma,incision infection or other complications occurred.The mean follow-up period was 14 (3-24) months.No testicular atrophy,iatrogenic cryptorchidism or incisional hernia was noted.Conclusions Modified laparoscopy is both safe and effective for giant incarcerated hernia.关键词
腹腔镜检查/疝,腹股沟/治疗/儿童Key words
Laparoscopy/Hernia, Inguinal/Therapy/Child引用本文复制引用
李小卫,伍岗泉,卢应酬,翟国敏,莫衬章..改良腹腔镜技术在小儿腹股沟巨大嵌顿性斜疝中的应用[J].临床小儿外科杂志,2017,16(3):269-272,276,5.基金项目
2014年东莞市医疗卫生科技计划一般项目(201410515000779) （201410515000779）
