The clinical curative effect analysis of laparoscopic hernia sac high ligation in children

Objective: To explore the clinical value of laparoscopic hernia sac high ligation in the treatment of pediatric indirect inguinal hernia. Methods: A retrospective analysis was made on the clinical data of 816 children who suffered from indirect inguinal hernia and were treated with laparoscopic high ligation of hernia sac from Jun. 2001 to Jun. 2014,among which 704 were males,112 were females,age ranged from 10 months to 12 years old,mean age was( 4. 26 ± 2. 76) years; 452 cases were on the right side,316 cases on the left,48 cases on both sides,the occult hernia was found in 132 cases. General anesthesia and endotracheal intubation anesthesia were used in the operation. Results: All 816 operations were successfully performed without conversion to laparotomy. Operation time was 10-45 min,mean operating time was( 20 ± 4) min for unilateral and( 25 ± 6) min for bilateral inguinal hernia. The mean postoperative hospital stay was( 3. 2 ± 0. 8) d. Two days after the surgery patients returned to normal diet. Postoperative scars were minimal and complications such as spermatic cord injury,injury of vas deferens,subcutaneous hematoma,scrotal hematoma,port-site hernia didn't occur. 810 cases were followed up for 6 to 40 months,the average was( 12. 5 ± 4. 5) months,and 6 cases were lost. 2 recurrent cases were found. Conclusions: Laparoscopic pediatric high ligation of inguinal hernia sac has obvious advantages such as small surgical trauma,short operation time,quick recovery,simple operation,low recurrence rate,beautiful incision,handling bilateral inguinal hernia,founding and treating contralateral occult hernia timely during the operation,is worth popularization and application in clinic.