Li Bing, Zhang Jia-yang, Wang Ye-bo, Chen Wei-bing, Wang Shou-qing, Jin Li-gong, Li Dong-hai
Department of Pediatric Surgery, Huai An Women and Children's Hospital, Huai'an, 223002 Jiang Su, China.
Pediatr Surg Int. 2013 May;29(5):525-8. doi: 10.1007/s00383-012-3256-6. Epub 2013 Jan 5.
Laparoscope-assisted diagnosis and treatment of Amyand's hernia in children are rarely reported in literature. We report our preliminary experiences to emphasize the advantages and feasibility of this procedure in six cases. Laparoscope-assisted diagnosis and treatment of Amyand's hernias in six children from October 2010 to February 2012 were performed. A retrospective analysis of clinical data of these patients was performed. The mean age of the six patients was 234 days (ranging from 40 days to 13 months). Four cases were operated with laparoscope-assisted method urgently as incarcerated hernia. To the two cases with normal appendix, only herniorrhaphy was performed. Average follow-up was 14 months (9-24 months), with no wound infection and no recurrent hernias. In conclusion, diagnosis of Amyand's hernia before operation is difficult, and laparoscopic method is safe and effective in these cases with good outcomes, and worth introduced.
腹腔镜辅助诊断和治疗儿童艾米安德疝在文献中鲜有报道。我们报告我们的初步经验，以强调该手术在6例患者中的优势和可行性。2010年10月至2012年2月，对6例儿童艾米安德疝进行了腹腔镜辅助诊断和治疗。对这些患者的临床资料进行了回顾性分析。6例患者的平均年龄为234天（范围从40天至13个月）。4例因嵌顿疝紧急采用腹腔镜辅助方法手术。对于2例阑尾正常的病例，仅进行了疝修补术。平均随访14个月（9 - 24个月），无伤口感染和疝复发。总之，术前诊断艾米安德疝困难，腹腔镜方法在这些病例中安全有效，效果良好，值得推广。
