Hajong Ranendra, Newme Kewithinwangbo, Moirangthem Thoiba
Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India.
J Family Med Prim Care. 2022 Jul;11(7):3633-3635. doi: 10.4103/jfmpc.jfmpc_2298_21. Epub 2022 Jul 22.
Since the inception of laparoscopy, it has been explored in many fields of surgery, like in the abdomen, hernia, thorax, etc., Laparoscopic hernioplasty in adults is being practiced by many surgeons nowadays. However, the role of laparoscopic inguinal hernia repair in pediatric patients is not well-established, even though it is being explored as an alternative to open herniotomy procedure. In the present study, laparoscopic needlescopic hernia repair was compared with the conventional open herniotomy procedure.
The study was a case-control study conducted in a tertiary care hospital in northeast India during 2018-2021. A total of 25 patients underwent needlescopic hernia repair, the outcome of which was compared by collecting data of 25 more patients who earlier underwent open herniotomy repairs.
The laparoscopic needlescopic repair took a longer operative time as compared to the open technique with a smaller-sized incision.
Laparoscopic needlescopic hernia repair is a safe and feasible procedure with a similar outcome to open herniotomy but with a smaller scar.
自腹腔镜技术问世以来，它已在许多外科领域得到应用，如腹部、疝气、胸部等。如今，许多外科医生都在开展成人腹腔镜疝修补术。然而，尽管腹腔镜腹股沟疝修补术正被探索作为开放疝囊高位结扎术的替代方法，但该技术在儿科患者中的作用尚未完全确立。在本研究中，我们对腹腔镜针式疝修补术与传统开放疝囊高位结扎术进行了比较。
本研究为病例对照研究，于2018年至2021年在印度东北部的一家三级护理医院开展。共有25例患者接受了针式疝修补术，并通过收集另外25例早期接受开放疝囊高位结扎术患者的数据来比较手术结果。
与开放技术相比，腹腔镜针式修补术的手术时间更长，但切口更小。
腹腔镜针式疝修补术是一种安全可行的手术，其效果与开放疝囊高位结扎术相似，但疤痕更小。
