Experiences of single-hooked needle downward-type hooking-line core hernia sac high-ligation for pediatric inguinal hernia

doi:10.3760/cma.j.issn.1007-1245.2024.06.023

Abstract

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

摘要：

目的　探讨全腹膜外疝囊高位结扎术中采用单钩针下压式勾线治疗儿童腹股沟斜疝的体会。方法　回顾性分析2018年5月至2019年5月西安市儿童医院收治的腹股沟斜疝患儿419例。其中男370例，女49例，最小年龄8个月，最大年龄15岁，平均年龄3岁6个月；左侧160例，右侧220例，双侧39例。在全腹膜外疝囊高位结扎术中采用单钩针下压式勾线，记录手术时间和后腹膜的完整性。结果　女孩单侧手术时间为（4.0±1.0）min，双侧为（6.0±1.2）min；男孩单侧手术时间为（6.0±1.0）min，双侧为（9.0±1.5）min。术中均未出现多次钩挂腹膜的手术过程和后腹膜撕裂等并发症，术后随访均无并发腹膜裂孔疝继发肠坏死情况。结论　单钩针全腹膜外疝囊高位结扎术治疗儿童腹股沟斜疝手术中采用下压式勾线，能有效地减少腹膜外勾线时反复勾线和避免钩挂腹膜所引起的后腹膜撕裂等并发症，值得临床借鉴推广。

关键词:

腹股沟斜疝, , , 单钩针, , , 下压式勾线, , , 完整腹膜

Bian Jun, Shi Weidong, Zhang Xiangning, Ding Wenze, Yao Yuan, Wang Xingcheng.

Experiences of single-hooked needle downward-type hooking-line core hernia sac high-ligation for pediatric inguinal hernia [J]. International Medicine and Health Guidance News, 2024, 30(6): 994-997.

卞军施伟栋张向宁丁文泽姚远王兴程.

单钩针下压式勾线疝囊高位结扎术治疗儿童腹股沟斜疝的体会 [J]. 国际医药卫生导报, 2024, 30(6): 994-997.

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