Kamaledeen S A, Shanbhogue L K
Department of Paediatric Surgery, King Fahd Specialist Hospital, Al Qassim, Kingdom of Saudi Arabia.
J Pediatr Surg. 1997 Dec;32(12):1715-6. doi: 10.1016/s0022-3468(97)90513-3.
BACKGROUND/PURPOSE: The authors have been using abdominal extraperitoneal approach for treatment of incarcerated inguinal hernia in children for the last 2 years. The aim of this paper is to report on this experience.
Between March 1994 and July 1996, cases of infants and children presenting with incarcerated inguinal hernia were studied. Preperitoneal approach was used in all children who had incarcerated hernia that could not be reduced with gentle manipulation and did not reduce spontaneously under general anesthesia. There were 24 children with a median age of 12 months.
Herniotomy, reduction of contents, and bowel resection were found to be much easier than the inguinal approach. There were no complications.
Preperiotoneal approach appears to be a safe and easy technique for incarcerated inguinal hernia in children. The authors recommend that it should be used more commonly.
背景/目的：在过去两年中，作者一直采用经腹腹膜外途径治疗儿童嵌顿性腹股沟疝。本文旨在报告这一经验。
1994年3月至1996年7月，对出现嵌顿性腹股沟疝的婴幼儿及儿童病例进行了研究。所有经轻柔手法不能还纳且在全身麻醉下不能自行还纳的嵌顿疝患儿均采用腹膜前途径。共有24名儿童，中位年龄为12个月。
发现疝修补术、内容物还纳和肠切除术比腹股沟途径容易得多。无并发症发生。
腹膜前途径对于儿童嵌顿性腹股沟疝似乎是一种安全且简便的技术。作者建议应更广泛地应用该技术。
