Laparoscopic minimally invasive treatment of hernia in children

Children's indirect inguinal hernia is caused by congenital patent sheath process, which is characterized by the posterior wall of hernia sac clinging to spermatic cord. Not all open sheath processes can cause indirect inguinal hernia. Local examination of groin shows a lump, which is oval, and the larger one can fall into scrotum. The lump is soft and elastic, which can be brought back to the abdominal cavity by squeezing with hands, and a purr can be heard. Remove the finger and the tumor reappears.

At present, the treatment of indirect inguinal hernia in children is mainly surgery. Surgical treatment is quite safe and is not limited by age. It's just an elective operation. Choose the right time. The surgical treatment of indirect inguinal hernia in children generally only needs high ligation of the neck of hernia sac. Surgery is divided into traditional surgery and laparoscopic minimally invasive surgery.

This paper focuses on the advantages of laparoscopic minimally invasive surgery: 1, which can observe whether the contralateral sheath process is closed. For children with unilateral hernia, whether the contralateral sheath process is closed is a practical problem that puzzles many parents. If it is not closed, another hernia may appear, which can not be solved by traditional surgery, but laparoscopy can clearly determine whether the contralateral sheath process is closed. 2, the wound is small. At present, laparoscopic minimally invasive surgery can be performed in a single umbilical hole, and no scar can be seen after umbilical healing, which is an excellent choice for parents with strong aesthetic requirements; 3. Little interference to vas deferens. Traditional surgery needs to peel off the vas deferens and spermatic vessels from the posterior wall of hernia sac, which may damage the vas deferens and spermatic vessels. Minimally invasive surgery can avoid this kind of injury, because it does not need to peel off the vas deferens and spermatic vessels. 4. Other malformations can be found in abdominal cavity. At present, our hospital has completed more than 3000 cases of laparoscopic minimally invasive hernia surgery, and found many cases of Meckel's diverticulum, bladder wall cyst and mesenteric cyst in children, which can be treated together. 5. The recurrence rate is low. The recurrence rate of laparoscopic minimally invasive surgery completed in our hospital is less than 0.2%.

(This picture shows the double-hole laparoscopic high ligation of hernia sac, and the single-hole method has only one navel wound. )