Misra D, Hewitt G, Potts S R, Brown S, Boston V E
Department of Paediatric Surgery, Royal Belfast Hospital for Sick Children, Ireland.
J Pediatr Surg. 1995 Jan;30(1):95-6. doi: 10.1016/0022-3468(95)90619-3.
Over a 6-year period, 14 infants with a total of 16 inguinal hernias (IH) underwent transperitoneal closure of the internal ring (TPIR). This was performed through a minilaparotomy, using a purse-string suture placed around the internal ring from within. A difficult inguinal dissection of an edematous and friable spermatic cord was avoided. TPIR was performed for incarceration in 13 of the infants and for recurrence of the hernia within 24 hours of herniotomy in one. There were no intraoperative problems, and during follow-up there was no evidence of testicular atrophy or recurrence of the hernia. This suggests that TPIR is a reliable and safe operation in babies for whom the alternative inguinal approach would be difficult. These situations include hernias that are irreducible and early recurrence in which dissection of the cord would risk damage to the vas deferens or testicular vessels.
在6年的时间里，14例共有16处腹股沟疝（IH）的婴儿接受了经腹膜内环关闭术（TPIR）。该手术通过迷你剖腹术进行，从内部围绕内环放置荷包缝线。避免了对水肿且脆弱的精索进行困难的腹股沟解剖。13例婴儿因嵌顿接受了TPIR，1例因疝修补术后24小时内疝复发接受了该手术。术中无问题，随访期间无睾丸萎缩或疝复发的迹象。这表明TPIR对于难以采用其他腹股沟入路的婴儿来说是一种可靠且安全的手术。这些情况包括无法回纳的疝和早期复发，在这些情况下，精索解剖有损伤输精管或睾丸血管的风险。
