Shao Jinwei, Ma Mingdi, Li Zhou, Shi Manyu, Li Zhaozhu, Cui Qingbo
Dalian Municipal Women and Children's Medical Center (Group), No.154 Zhongshan Road, Xigang District, Dalian, China.
Department of Pediatric Surgery, Qingdao University, No.308 Ningxia Road, Laoshan District, Qingdao, China.
Surg Endosc. 2025 Jan;39(1):661-667. doi: 10.1007/s00464-024-11419-0. Epub 2024 Dec 2.
Pediatric inguinal hernia is a common surgical condition among children. In this study, we present the application of a self-designed laparoscopic auxiliary needle device (China Patent Number: ZL 201320479515.5) and evaluate its effectiveness in laparoscopic percutaneous extraperitoneal closure in pediatric patients.
The laparoscopic auxiliary needle device, with a diameter of 1 mm, consists of a cylindrical needle body and a specifically designed front end. Between January 2013 and January 2021, a total of 2075 children with inguinal hernia (1864 males and 211 females, mean age 3.71 ± 2.95 years old) were included in this study. All patients underwent laparoscopic inguinal hernia repair using the laparoscopic auxiliary needle device. Various data were collected including occult inguinal hernia incidence, complications such as recurrence, and follow-up findings.
The entire patient cohort underwent laparoscopic inguinal hernia repair using the laparoscopic auxiliary needle. Pneumoperitoneum lasted 5.1 ± 1.2 min in unilateral hernia cases and 11.0 ± 1.3 min in bilateral hernia cases. Occult inguinal hernia were found in 981 (47.3%) patients, out of which initially difficult diagnoses were encountered in 516 cases (24.9%). Postoperative follow-up ranged from 3 to 96 months, with two instances (0.1%) of inguinal hernia recurrence reported. Importantly, no patients reported any visible scars or sensations of subcutaneous foreign bodies.
Based on our extensive patient cohort, we assert that our self-designed laparoscopic auxiliary needle device represents a valuable tool for performing laparoscopic inguinal hernia repairs while minimizing abdominal scarring. Additionally, this device offers the additional advantage of detecting contralateral occult inguinal hernia.
小儿腹股沟疝是儿童常见的外科疾病。在本研究中，我们展示了一种自行设计的腹腔镜辅助穿刺针装置（中国专利号：ZL 201320479515.5）的应用，并评估其在小儿患者腹腔镜经皮腹膜外修补术中的有效性。
腹腔镜辅助穿刺针装置直径为1毫米，由圆柱形针体和专门设计的前端组成。2013年1月至2021年1月，本研究共纳入2075例腹股沟疝患儿（男1864例，女211例，平均年龄3.71±2.95岁）。所有患者均使用腹腔镜辅助穿刺针装置进行腹腔镜腹股沟疝修补术。收集了各种数据，包括隐匿性腹股沟疝的发生率、复发等并发症以及随访结果。
整个患者队列均使用腹腔镜辅助穿刺针进行了腹腔镜腹股沟疝修补术。单侧疝病例气腹持续时间为5.1±1.2分钟，双侧疝病例为11.0±1.3分钟。981例（47.3%）患者发现隐匿性腹股沟疝，其中516例（24.9%）最初诊断困难。术后随访时间为3至96个月，报告有2例（0.1%）腹股沟疝复发。重要的是，没有患者报告有可见疤痕或皮下异物感。
基于我们庞大的患者队列，我们断言，我们自行设计的腹腔镜辅助穿刺针装置是进行腹腔镜腹股沟疝修补术同时尽量减少腹部瘢痕形成的有价值工具。此外，该装置还具有检测对侧隐匿性腹股沟疝的额外优势。
