Clinical Value of Laparoscopy Via Veress Needle with Thread in Children with Inguinal Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHENGXiang-xin ,  GUANXiao-qing , WUJi , GUShu-cheng , YUANMu , ZHANGXu-xu , QIUXing

Department of General Surgery, Suqian People's Hospital of Nanjing Drum-Tower Hospital Group, Suqian 223800, Jiangsu Province, China;

Corresponding?author：

GUANXiao-qing, Email: guan_dr@163.com

Keywords：

Hernia; Inguinal; Veress needle; Laparoscopy; Child

DOI：

10.7507/1007-9424.20150123

Video：

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Objective To investigate the clinical value of veress needle with thread for laparoscopic high ligation of hernia sac in children. Methods The clinical data of 56 cases of pediatric inguinal hernia using laparoscopic high ligation of hernia sac with veress needle from May 2013 to May 2014 were analyzed retrospectively. Results All patients were successfully carried out operation by laparoscopic high ligation of hernia sac.Forty-one cases underwent unilateral surgery, and operative time was 6-18 min (mean 9.6 min); 15 cases underwent bilateral surgery, and operative time was 10-32 min (mean 14.3 min).Nine cases of contralateral recessive hernia were found and ligated during operation.There was no complications, such as scrotal edema, scrotal gas or incision infection after operation, and all patients were discharged in l-2 days after operation.No recurrence or testicular dysplasia was found during 3 to 15 months (mean 10.8 months) follow-up. Conclusions There are many advantages in laparoscopic high ligation of hernia sac with veress needle, such as less damage, hidden incision, faster recovery, shorter hospital stay, simple operation, and better efficacy.We can find contralateral recessive hernia during operation and avoid second surgery with high clinical value, therefore it is worthy of clinical application.

Citation： ZHENGXiang-xin, GUANXiao-qing, WUJi, GUShu-cheng, YUANMu, ZHANGXu-xu, QIUXing. Clinical Value of Laparoscopy Via Veress Needle with Thread in Children with Inguinal Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(4): 468-471. doi: 10.7507/1007-9424.20150123 Copy

1.	黃貴和, 陸詠江, 山松.小兒腹腔鏡腹股溝疝修補術的臨床體會.腹腔鏡外科雜志, 2012, 17(3):216-218.
2.	Shalaby R, Ismail M, Dorgham A, et al.Laparoscopic hernia repair in infancy and childhood:evaluation of 2 different techniques.J Pediatr Surg, 2010, 45(11):2210-2216.
3.	李炳, 劉樹立, 陳衛兵, 等.腹腔鏡治療小嬰兒腹股溝斜疝79例體會.中華小兒外科雜志, 2012, 33(1):70-72.
4.	李學春, 魯成軍, 王世軍, 等.腹腔鏡治療小兒疝合并睪丸精索鞘膜積液臨床研究(附100例報告).中華疝和腹壁外科雜志:電子版, 2012, 6(3):840-842.
5.	鄭民華, 馬君俊.腹腔鏡腹股溝疝修補術的現狀與前景展望.中華疝和腹壁外科雜志:電子版, 2007, 1(2):65-67.
6.	Chang YT, Lee JY, Tsai CJ, et al.Preliminary experience of one-trocar laparoscopic herniorrhaphy in infants and children.J Laparoendosc Adv Surg Tech A, 2011, 21(3):277-282.
7.	段光琦, 張敏, 管肖浩.單孔腹腔鏡治療小兒腹股溝斜疝55例分析.中華疝和腹壁外科雜志:電子版, 2013, 7(3):255-257.
8.	買買提吐爾遜·吐爾迪, 伊斯馬依力·艾麥提, 托呼提阿吉·依干木, 等.腹腔鏡下兒童腹股溝斜疝高位結扎術的療效評價.中華疝和腹壁外科雜志:電子版, 2014, 8(5):436-438.
9.	劉建, 張勇, 祝東強, 等.經臍單孔腔鏡下應用自制雙孔縫合針治療小兒腹股溝斜疝.四川醫學, 2011, 32(4):543-545.
10.	Shen W, Ji H, Lu G, et al.A modified single-port technique for the minimally invasive treatment of pediatric inguinal hernias with high ligation of the vaginal process:the initial experience.Eur J Pediatr, 2010, 169(10):1207-1212.
11.	Xu C, Xiang B, Jin SG, et al.Transumbilical two-port laparoscopic percutaneous extraperitoneal closure:a new technique for inguinal hernia repair in children.J Laparoendose Adv Surg Tech A, 2013, 23(4):392-396.
12.	平紹生, 沈崇有, 蘇石斌, 等.特殊器械行腹腔鏡小兒腹股溝疝修補術36例報告.腹腔鏡外科雜志, 2012, 17(11):854-855.
13.	王勁, 鄧順剛, 葉亮, 等.微型腹腔鏡下小兒腹股溝疝囊高位結扎術的改良研究.臨床小兒外科雜志, 2013, 12(5):403-405.
14.	Uchida H, Kawashima H, Goto C, et al.Inguinal hernia repair in children using single-incision laparoscopic-assisted percutaneous extraperitoneal closure.J Pediatr Surg, 2010, 45(12):2386-2389.
15.	李炳根, 聶向陽, 余國忠, 等.用大圓針行單孔腹腔鏡手術治療小兒斜疝772例報告.中華外科雜志, 2011, 49(9):851-852.
16.	瞿明.微型橫切口疝囊高位結扎術治療小兒斜疝.中華疝和腹壁外科雜志:電子版, 2012, 6(3):859-861.
17.	杜永亮.小切口治療小兒腹股溝斜疝100例體會.中華疝和腹壁外科雜志:電子版, 2012, 6(2):761-763.
18.	Yang CL, Zhang HY, Pu JR, et al.Laparoscopic vs open hemiorr-haphy in the management of pediatric inguinal hernia:a systemic review and meta-analysis.J Pediatr Surg, 2011, 46(9):1824-1834.
19.	候崇智, 卞軍, 施偉棟, 等.腹腔鏡下單通道自制疝氣針完全腹膜外疝囊高位結扎術治療小兒腹股溝斜疝163例.中國微創外科雜志, 2014, 6(14):519-521.
20.	陳康, 王光遠, 郎慶華, 等.腹腔鏡下微創治療兒童腹股溝疝的臨床體會.中華疝和腹壁外科雜志:電子版, 2014, 8(5):460-461.
21.	姚干, 楊慶堂, 張慶峰, 等.微型腹腔鏡治療小兒腹股溝斜疝.
22.	100例報告.腹腔鏡外科雜志, 201l, 16(1):18-19.
23.	Tsai YC, Wu CC, Ho CH, et al.Minilaparoscopic herniorrhaphy in pediatric inguinal hernia:a durable alternative treatment to standard herniotomy.J Pediatr Surg, 2011, 46(4):708-712.
24.	朱威, 許浩, 盧慧巖.小切口治療小兒腹股溝疝98例體會.微創醫學, 2012, 7(6):660-661.
25.	夏東亮, 張麗華, 時繼東, 等.小兒小切口疝囊高位結扎術探討.臨床小兒外科雜志, 2012, 11(6):441-443.
26.	Takehara H, Yakabe S, Kameoka K.Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children:clinical outcome of 972 repairs done in 3 pediatric surgical institutions.J Pediatr Surg, 2006, 41(12):1999-2003.
27.	李宇洲, 姚干, 梁健升.微型腹腔鏡治療小兒斜疝4 500例體會.中國微創外科雜志, 2007, 7(12):1149-1151.
28.	梁雪景.腹腔鏡疝囊高位結扎術中注水分離腹膜與輸精管、精索血管的術中配合.中國微創外科雜志, 2012, 12(7):671-672.
29.	黃榮輝, 黃進團, 梁雪景, 等.注水分離腹膜與輸精管及睪丸血管法在腹腔鏡小兒疝手術中的應用.中國微創外科雜志, 2011, 11(11):1048-1049.

1. 黃貴和, 陸詠江, 山松.小兒腹腔鏡腹股溝疝修補術的臨床體會.腹腔鏡外科雜志, 2012, 17(3):216-218.
2. Shalaby R, Ismail M, Dorgham A, et al.Laparoscopic hernia repair in infancy and childhood:evaluation of 2 different techniques.J Pediatr Surg, 2010, 45(11):2210-2216.
3. 李炳, 劉樹立, 陳衛兵, 等.腹腔鏡治療小嬰兒腹股溝斜疝79例體會.中華小兒外科雜志, 2012, 33(1):70-72.
4. 李學春, 魯成軍, 王世軍, 等.腹腔鏡治療小兒疝合并睪丸精索鞘膜積液臨床研究(附100例報告).中華疝和腹壁外科雜志:電子版, 2012, 6(3):840-842.
5. 鄭民華, 馬君俊.腹腔鏡腹股溝疝修補術的現狀與前景展望.中華疝和腹壁外科雜志:電子版, 2007, 1(2):65-67.
6. Chang YT, Lee JY, Tsai CJ, et al.Preliminary experience of one-trocar laparoscopic herniorrhaphy in infants and children.J Laparoendosc Adv Surg Tech A, 2011, 21(3):277-282.
7. 段光琦, 張敏, 管肖浩.單孔腹腔鏡治療小兒腹股溝斜疝55例分析.中華疝和腹壁外科雜志:電子版, 2013, 7(3):255-257.
8. 買買提吐爾遜·吐爾迪, 伊斯馬依力·艾麥提, 托呼提阿吉·依干木, 等.腹腔鏡下兒童腹股溝斜疝高位結扎術的療效評價.中華疝和腹壁外科雜志:電子版, 2014, 8(5):436-438.
9. 劉建, 張勇, 祝東強, 等.經臍單孔腔鏡下應用自制雙孔縫合針治療小兒腹股溝斜疝.四川醫學, 2011, 32(4):543-545.
10. Shen W, Ji H, Lu G, et al.A modified single-port technique for the minimally invasive treatment of pediatric inguinal hernias with high ligation of the vaginal process:the initial experience.Eur J Pediatr, 2010, 169(10):1207-1212.
11. Xu C, Xiang B, Jin SG, et al.Transumbilical two-port laparoscopic percutaneous extraperitoneal closure:a new technique for inguinal hernia repair in children.J Laparoendose Adv Surg Tech A, 2013, 23(4):392-396.
12. 平紹生, 沈崇有, 蘇石斌, 等.特殊器械行腹腔鏡小兒腹股溝疝修補術36例報告.腹腔鏡外科雜志, 2012, 17(11):854-855.
13. 王勁, 鄧順剛, 葉亮, 等.微型腹腔鏡下小兒腹股溝疝囊高位結扎術的改良研究.臨床小兒外科雜志, 2013, 12(5):403-405.
14. Uchida H, Kawashima H, Goto C, et al.Inguinal hernia repair in children using single-incision laparoscopic-assisted percutaneous extraperitoneal closure.J Pediatr Surg, 2010, 45(12):2386-2389.
15. 李炳根, 聶向陽, 余國忠, 等.用大圓針行單孔腹腔鏡手術治療小兒斜疝772例報告.中華外科雜志, 2011, 49(9):851-852.
16. 瞿明.微型橫切口疝囊高位結扎術治療小兒斜疝.中華疝和腹壁外科雜志:電子版, 2012, 6(3):859-861.
17. 杜永亮.小切口治療小兒腹股溝斜疝100例體會.中華疝和腹壁外科雜志:電子版, 2012, 6(2):761-763.
18. Yang CL, Zhang HY, Pu JR, et al.Laparoscopic vs open hemiorr-haphy in the management of pediatric inguinal hernia:a systemic review and meta-analysis.J Pediatr Surg, 2011, 46(9):1824-1834.
19. 候崇智, 卞軍, 施偉棟, 等.腹腔鏡下單通道自制疝氣針完全腹膜外疝囊高位結扎術治療小兒腹股溝斜疝163例.中國微創外科雜志, 2014, 6(14):519-521.
20. 陳康, 王光遠, 郎慶華, 等.腹腔鏡下微創治療兒童腹股溝疝的臨床體會.中華疝和腹壁外科雜志:電子版, 2014, 8(5):460-461.
21. 姚干, 楊慶堂, 張慶峰, 等.微型腹腔鏡治療小兒腹股溝斜疝.
22. 100例報告.腹腔鏡外科雜志, 201l, 16(1):18-19.
23. Tsai YC, Wu CC, Ho CH, et al.Minilaparoscopic herniorrhaphy in pediatric inguinal hernia:a durable alternative treatment to standard herniotomy.J Pediatr Surg, 2011, 46(4):708-712.
24. 朱威, 許浩, 盧慧巖.小切口治療小兒腹股溝疝98例體會.微創醫學, 2012, 7(6):660-661.
25. 夏東亮, 張麗華, 時繼東, 等.小兒小切口疝囊高位結扎術探討.臨床小兒外科雜志, 2012, 11(6):441-443.
26. Takehara H, Yakabe S, Kameoka K.Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children:clinical outcome of 972 repairs done in 3 pediatric surgical institutions.J Pediatr Surg, 2006, 41(12):1999-2003.
27. 李宇洲, 姚干, 梁健升.微型腹腔鏡治療小兒斜疝4 500例體會.中國微創外科雜志, 2007, 7(12):1149-1151.
28. 梁雪景.腹腔鏡疝囊高位結扎術中注水分離腹膜與輸精管、精索血管的術中配合.中國微創外科雜志, 2012, 12(7):671-672.
29. 黃榮輝, 黃進團, 梁雪景, 等.注水分離腹膜與輸精管及睪丸血管法在腹腔鏡小兒疝手術中的應用.中國微創外科雜志, 2011, 11(11):1048-1049.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Value of Laparoscopy Via Veress Needle with Thread in Children with Inguinal Hernia

Abstract Full text Figures/Tables Video References Cited by

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