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.	黄贵和, 陆咏江, 山松.小儿腹腔镜腹股沟疝修补术的临床体会.腹腔镜外科杂志, 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, 刘树立, 陈卫兵, 等.腹腔镜治疗小婴儿腹股沟斜疝79例体会.中华小儿外科杂志, 2012, 33(1):70-72.
4.	李学春, 鲁成军, 王世军, 等.腹腔镜治疗小儿疝合并睾丸精索鞘膜积液临床研究(附100例报告).中华疝和腹壁外科杂志:电子版, 2012, 6(3):840-842.
5.	郑民华, 马君俊.腹腔镜腹股沟疝修补术的现状与前景展望.中华疝和腹壁外科杂志:电子版, 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, 张敏, 管肖浩.单孔腹腔镜治疗小儿腹股沟斜疝55例分析.中华疝和腹壁外科杂志:电子版, 2013, 7(3):255-257.
8.	买买提吐尔逊·吐尔迪, 伊斯马依力·艾麦提, 托呼提阿吉·依干木, 等.腹腔镜下儿童腹股沟斜疝高位结扎术的疗效评价.中华疝和腹壁外科杂志:电子版, 2014, 8(5):436-438.
9.	刘建, 张勇, 祝东强, 等.经脐单孔腔镜下应用自制双孔缝合针治疗小儿腹股沟斜疝.四川医学, 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.	平绍生, 沈崇有, 苏石斌, 等.特殊器械行腹腔镜小儿腹股沟疝修补术36例报告.腹腔镜外科杂志, 2012, 17(11):854-855.
13.	王劲, 邓顺刚, 叶亮, 等.微型腹腔镜下小儿腹股沟疝囊高位结扎术的改良研究.临床小儿外科杂志, 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, 聂向阳, 余国忠, 等.用大圆针行单孔腹腔镜手术治疗小儿斜疝772例报告.中华外科杂志, 2011, 49(9):851-852.
16.	瞿明.微型横切口疝囊高位结扎术治疗小儿斜疝.中华疝和腹壁外科杂志:电子版, 2012, 6(3):859-861.
17.	杜永亮.小切口治疗小儿腹股沟斜疝100例体会.中华疝和腹壁外科杂志:电子版, 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, 卞军, 施伟栋, 等.腹腔镜下单通道自制疝气针完全腹膜外疝囊高位结扎术治疗小儿腹股沟斜疝163例.中国微创外科杂志, 2014, 6(14):519-521.
20.	陈康, 王光远, 郎庆华, 等.腹腔镜下微创治疗儿童腹股沟疝的临床体会.中华疝和腹壁外科杂志:电子版, 2014, 8(5):460-461.
21.	姚干, 杨庆堂, 张庆峰, 等.微型腹腔镜治疗小儿腹股沟斜疝.
22.	100例报告.腹腔镜外科杂志, 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, 许浩, 卢慧岩.小切口治疗小儿腹股沟疝98例体会.微创医学, 2012, 7(6):660-661.
25.	夏东亮, 张丽华, 时继东, 等.小儿小切口疝囊高位结扎术探讨.临床小儿外科杂志, 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.微型腹腔镜治疗小儿斜疝4 500例体会.中国微创外科杂志, 2007, 7(12):1149-1151.
28.	梁雪景.腹腔镜疝囊高位结扎术中注水分离腹膜与输精管、精索血管的术中配合.中国微创外科杂志, 2012, 12(7):671-672.
29.	黄荣辉, 黄进团, 梁雪景, 等.注水分离腹膜与输精管及睾丸血管法在腹腔镜小儿疝手术中的应用.中国微创外科杂志, 2011, 11(11):1048-1049.

1. 黄贵和, 陆咏江, 山松.小儿腹腔镜腹股沟疝修补术的临床体会.腹腔镜外科杂志, 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, 刘树立, 陈卫兵, 等.腹腔镜治疗小婴儿腹股沟斜疝79例体会.中华小儿外科杂志, 2012, 33(1):70-72.
4. 李学春, 鲁成军, 王世军, 等.腹腔镜治疗小儿疝合并睾丸精索鞘膜积液临床研究(附100例报告).中华疝和腹壁外科杂志:电子版, 2012, 6(3):840-842.
5. 郑民华, 马君俊.腹腔镜腹股沟疝修补术的现状与前景展望.中华疝和腹壁外科杂志:电子版, 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, 张敏, 管肖浩.单孔腹腔镜治疗小儿腹股沟斜疝55例分析.中华疝和腹壁外科杂志:电子版, 2013, 7(3):255-257.
8. 买买提吐尔逊·吐尔迪, 伊斯马依力·艾麦提, 托呼提阿吉·依干木, 等.腹腔镜下儿童腹股沟斜疝高位结扎术的疗效评价.中华疝和腹壁外科杂志:电子版, 2014, 8(5):436-438.
9. 刘建, 张勇, 祝东强, 等.经脐单孔腔镜下应用自制双孔缝合针治疗小儿腹股沟斜疝.四川医学, 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. 平绍生, 沈崇有, 苏石斌, 等.特殊器械行腹腔镜小儿腹股沟疝修补术36例报告.腹腔镜外科杂志, 2012, 17(11):854-855.
13. 王劲, 邓顺刚, 叶亮, 等.微型腹腔镜下小儿腹股沟疝囊高位结扎术的改良研究.临床小儿外科杂志, 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, 聂向阳, 余国忠, 等.用大圆针行单孔腹腔镜手术治疗小儿斜疝772例报告.中华外科杂志, 2011, 49(9):851-852.
16. 瞿明.微型横切口疝囊高位结扎术治疗小儿斜疝.中华疝和腹壁外科杂志:电子版, 2012, 6(3):859-861.
17. 杜永亮.小切口治疗小儿腹股沟斜疝100例体会.中华疝和腹壁外科杂志:电子版, 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, 卞军, 施伟栋, 等.腹腔镜下单通道自制疝气针完全腹膜外疝囊高位结扎术治疗小儿腹股沟斜疝163例.中国微创外科杂志, 2014, 6(14):519-521.
20. 陈康, 王光远, 郎庆华, 等.腹腔镜下微创治疗儿童腹股沟疝的临床体会.中华疝和腹壁外科杂志:电子版, 2014, 8(5):460-461.
21. 姚干, 杨庆堂, 张庆峰, 等.微型腹腔镜治疗小儿腹股沟斜疝.
22. 100例报告.腹腔镜外科杂志, 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, 许浩, 卢慧岩.小切口治疗小儿腹股沟疝98例体会.微创医学, 2012, 7(6):660-661.
25. 夏东亮, 张丽华, 时继东, 等.小儿小切口疝囊高位结扎术探讨.临床小儿外科杂志, 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.微型腹腔镜治疗小儿斜疝4 500例体会.中国微创外科杂志, 2007, 7(12):1149-1151.
28. 梁雪景.腹腔镜疝囊高位结扎术中注水分离腹膜与输精管、精索血管的术中配合.中国微创外科杂志, 2012, 12(7):671-672.
29. 黄荣辉, 黄进团, 梁雪景, 等.注水分离腹膜与输精管及睾丸血管法在腹腔镜小儿疝手术中的应用.中国微创外科杂志, 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

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