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[小儿腹腔镜疝修补术]

[Laparoscopic herniorrhaphy in children].

作者信息

Ignat'ev R O, Bataev S M, Bogdanov S E, Oznobishin V N

出版信息

Khirurgiia (Mosk). 2014(6):30-5.

Abstract

It was described the results of endosurgical treatment different technique of 170 children of both sexes aged 4 months to 14 years. Children had inguinal hernia. There were unilateral hernia in 148 patients and bilateral hernia in 22 patients. It was used such interventions as laparoscopic herniotomy with hernial sac extirpation (6 operations), laparoscopic suturing of deep inguinal ring (22 operations), dual-port laparoscopic extraperitoneal herniorrhaphy (46 operations), original single-port laparoscopic extraperitoneal herniorrhaphy (118 operations). The minimum duration of the operation (4.5-7.5 minutes) was observed in the last group. These patients did not need postoperative anesthesia. Relapse was detected in 2 (1.1%) cases. Developed single-port laparoscopic extraperitoneal herniorrhaphy may be alternative in children with inguinal hernia.

摘要

本文描述了对170名年龄在4个月至14岁的男女儿童采用不同技术进行内镜手术治疗的结果。这些儿童患有腹股沟疝。其中148例为单侧疝,22例为双侧疝。采用了以下干预措施:腹腔镜疝囊切除术(6例)、腹腔镜腹股沟深环缝合术(22例)、双端口腹腔镜腹膜外疝修补术(46例)、原创单端口腹腔镜腹膜外疝修补术(118例)。最后一组手术时间最短(4.5 - 7.5分钟)。这些患者术后无需麻醉。2例(1.1%)出现复发。所研发的单端口腹腔镜腹膜外疝修补术可能是儿童腹股沟疝的替代治疗方法。

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