关键词:

腹股沟斜疝,  ,  , 单钩针,  ,  , 下压式勾线,  ,  , 完整腹膜

Abstract:

Objective　To explore the experiences of high ligation of hernia sac in pediatric inguinal hernia using the downward-type hooking-line core with a single-hooked needle in a totally extraperitoneal approach. Methods　A retrospective analysis was performed on 419 children with oblique inguinal hernia admitted to Xi'an Children's Hospital from May 2018 to May 2019. There were 370 boys and 49 girls. The age ranged from 8 months old to 15 years old, with an average age of 3 years and 6 months old. There were 160 cases located on the left side, 220 cases on the right side, and 39 cases on both sides. In the surgical procedure, we employed the single-hooked needle downward-type hooking-line core technique for totally extraperitoneal hernia sac high ligation in pediatric inguinal hernia cases. We also recorded the operation time and assessed the integrity of the posterior peritoneum. Results　For the girls, the operation time was (4.0±1.0) min in the cases with unilateral inguinal hernia and (6.0±1.2) min in the cases with bilateral inguinal hernia. For the boys, the operation time was (6.0±1.0) min in the cases with unilateral inguinal hernia and (9.0±1.5) min in the cases with bilateral inguinal hernia. Notably, no complications such as secondary hook line or retroperitoneal tears occurred during the operation. Conclusion　The single-hooked needle downward-type hooking-line core technique for totally extraperitoneal hernia sac high ligation in pediatric inguinal hernia cases allows for repeated hooks without causing retroperitoneal tears during the operation. This approach holds significant value for clinical reference and wider adoption.

Key words:

Inguinal hernia,  , Single-hooked needle,  , Downward-type hooking-line,  , Complete peritoneum