Laparoscopic Treatment Of Inguinal Hernia In Children

Objective:To compare laparoscopic hernia autologous tissue repair operation, laparoscopic high ligation of the hernia sac operation in the treatment of pediatric inguinal hernia, laparoscopic hernia repair in children with autologous tissue repair of clinical value in clinical work.Methods:a retrospective analysis of the First Affiliated Hospital of Guiyang College of Traditional Chinese Medicine in2010January-2012year in August for inguinal hernia in children and hospitalized patients, according to the criteria to choose the standard of patients, in which laparoscopic hernia high sac ligation operation treatment of99cases of A group (including:the male92cases, female7cases, age1-12years old, average age4.6years old), laparoscopic autologous tissue repair operation treatment of107cases of B group (including:male99cases, female8cases, age1-12years old, average age4.2years old). The relevant data recorded during hospitalization, two patients of questionnaires, questionnaires, telephone and outpatient follow-up after discharge from hospital. Compared two groups of patients with the postoperative recurrence rate, curativeeffect, treatment, postoperative defecation time, and postoperative complications.Results:the selection of patients in accordance with the admission criteria, respectively according to the different operation were divided into two groups:group A:laparoscopic high ligation of the hernia sac operation treatment group; group B:Laparoscopic autologous tissue repair operation treatment group. The clinical data were analyzed. Laparoscopic autologous tissue repair operation treatment group operation smoothly, unilateral operation time is obviously more than group A, slightly higher than the B group, after operation in B group with the very next day were given normal diet and appropriate activities,4patients after1days appear lower abdominal stretch feeling,2days later to disappear.2cases with subcutaneous emphysema, to absorb the cure. No wound infection, scrotal edema, effusion. The follow-up of6-24months showed no recurrence after operation. Group A patients were treated with the very next day of normal diet and appropriate activities,2cases with subcutaneous emphysema, to absorb the cure.1cases of huge hernia in children,2days after operation the operation side small hydrocele of tunica vaginalis, after cured by puncture pumping effusion. No wound infection, scrotal edema, effusion. The follow-up of6-24months in4cases of lateral recurrence after operation..Conclusion:Laparoscopic autologous tissue repair in treatment of indirect inguinal hernia in children, with shorter operation time, less trauma, quicker recovery, less complications, low recurrence rate, and at the same time treatment of occult contralateral hernia, Has high clinical application and promotion value.