Zhou Chengxiao,Tang Ran,Bian Jian,et al.Treatment of special types of hernias in children using single-port transumbilical laparoscopic 9-gauge needle suture technique[J].Journal of Clinical Pediatric Surgery,,():1088-1092.[doi:10.3760/cma.j.cn101785-202402031-016]
Treatment of special types of hernias in children using single-port transumbilical laparoscopic 9-gauge needle suture technique
- Keywords:
- Laparoscopy; Surgical Procedures; Operative; Child
- Abstract:
- Objective To preliminarily summarize the clinical experience of treating special types of hernias in children using a single-port transumbilical laparoscopic 9-gauge needle suture. Methods A retrospective analysis was conducted on 18 pediatric cases with special types of hernias treated using this technique in the Department of Pediatric Surgery at Anhui Provincial Children’s Hospital from August 2019 to September 2023.The cases included 6 Amyand’s hernias,2 Littre hernias,2 direct hernias,7 linea alba hernias,and 1 Morgagni hernia.The surgical approach,duration,blood loss,hospital stay,postoperative complications,and hernia recurrence rate were analyzed. Results All 18 cases underwent successful surgery using the single-port transumbilical laparoscopic 9-gauge needle suture technique,and all were discharged in good health.Among the 6 Amyand’s hernia cases,5 involved cecal content with inflamed or suppurative appendices and underwent appendectomy with high-ligation of the hernial sac; the remaining case with normal appendix underwent simple reduction and high-ligation of the sac.For 2 Littre hernia cases,Meckel’s diverticulum was resected after widening the umbilical incision.The single Pantaloon and direct hernia cases involved high-ligation of the sac and medial umbilical wall reinforcement.For the 7 linea alba hernia cases,a U-shaped interrupted suture was used to repair defects in the linea alba and peritoneum.One retrosternal hernia case involved reduction of colonic contents followed by diaphragm defect repair.The operation time ranged from 20 to 90 minutes,blood loss was 1-8 mL,and hospital discharge occurred within 2-14 days post-surgery.Follow-up (2-45 months) showed no hernia recurrence,testicular atrophy,iatrogenic cryptorchidism,scrotal infection,or abnormal movement and sensation in the lower limbs. Conclusions The single-port transumbilical laparoscopic 9-gauge needle suture technique is safe,effective,and cosmetically favorable approach for treating special types of hernias in children.This method has valuable applications and merits wider clinical adoption.
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Memo
收稿日期:2024-2-29。
通讯作者:戚士芹,Email:qishiqin@163.com