关键词: 小儿腹股沟斜疝, 腹腔镜, 疝气针, 腹膜疝囊高位结扎术

Abstract:

Abstract: Objective To investigate the clinical value of laparoscopic high ligation of hernia sac without injury by hernia needle in the treatment of indirect inguinal hernia in children. Methods 90 children with indirect inguinal hernia admitted to Gaozhou Maternal and Child Health Hospital from January 2018 to June 2019 were randomly divided into traditional operation (group A), hernia needle + laparoscopy (group B) and laparoscopy (Group C) with 30 patients of each group. Group A was treated with traditional high ligation of hernia sac, group B was treated with laparoscopic high ligation of hernia needle without injury of peritoneal hernia sac, and group C was treated with laparoscopic high ligation of hernia sac. Results The operation time of group A was longer than that of group B and group C, and the incidence of complications was higher, the difference was significant (P<0.05); The incision length, intraoperative blood loss, autonomous activity time and hospitalization time of the three groups were compared. The results of group B were better than those of group A and group C, and the results of group A were the worst, with significant difference (P<0.05). Conclusion Laparoscopic high ligation of hernia sac without injury of hernia needle in the treatment of indirect inguinal hernia in children has the advantages of fast, minimally invasive and safe, which can significantly promote the physical rehabilitation of children after operation.

Key words: Indirect inguinal hernia in children, Laparoscope, Hernia needle, High ligation of peritoneal hernia sac