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首页> 外文期刊>Surgical Endoscopy >Fifteen years experience in laparoscopic inguinal hernia repair in pediatric patients. Results and considerations on a debated procedure.
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Fifteen years experience in laparoscopic inguinal hernia repair in pediatric patients. Results and considerations on a debated procedure.

机译：小儿腹腔镜腹股沟疝修补术的十五年经验。关于辩论程序的结果和考虑。

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BACKGROUND: Laparoscopic inguinal hernia repair is rarely reported in pediatric patients. We report our 15-year experience on this topic to show the long-term results of this technique. METHODS: During a 15-year period, we operated 596 boys for unilateral inguinal hernia using laparoscopy. The age range was variable from 6 months to 15 years (median, 54 months), with a median body weight of 18.5 (range, 8-54) kg. Preoperatively, 352 boys had a right hernia and 172 had a left hernia. We always used three trocars. We used the laparoscopic herniorrhaphy described by our group 15 years ago; it consists of sectioning the sac distally to the inguinal ring and performing a pursestring suture around the periorificial peritoneum using a 4/0 nonresorbable suture. RESULTS: The median operating time was 19 min. All procedures were performed in a day-hospital setting. As for laparoscopic findings in 95 of 596 patients (15.9%), we found a contralateral patency of the processus vaginalis. In these 95 cases, we performed bilateral herniorrhaphy. In 7 of 596 patients (1.2%), we discovered a direct hernia. With follow-up between 1 and 15 years, we have only 11 recurrences (1.5%)-all reoperated by laparoscopy. CONCLUSIONS: We believe that laparoscopic repair of inguinal hernia performed by expert hands is a safe and effective procedure to perform with long-term follow-up. Its ability to repair simultaneously all forms of inguinal hernias together with contralateral patencies has cemented its role as a viable alternative to conventional repair.
机译：背景：腹腔镜腹股沟疝修补术在小儿患者中鲜有报道。我们报告了我们在该主题上的15年经验，以显示该技术的长期效果。方法：在15年的时间里，我们使用腹腔镜手术对596名男孩进行了单侧腹股沟疝的治疗。年龄范围从6个月到15岁（中位数为54个月）不等，中位体重为18.5公斤（范围为8-54）kg。术前，有352例男孩患有右疝，而172例患有左疝。我们总是使用三把套针。我们使用了15年前小组描述的腹腔镜疝气检查法。它包括从腹股沟环向远端切开囊，并使用4/0不可吸收缝线在腹膜周围腹膜周围进行囊状缝线缝合。结果：中位手术时间为19分钟。所有程序均在日间医院进行。至于在596例患者中有95例（15.9％）的腹腔镜检查结果，我们发现阴道对侧的对侧通畅。在这95例病例中，我们进行了双侧疝气检查。在596名患者中，有7名（1.2％）发现了直接疝。随访1到15年，我们只有11例复发（1.5％），所有这些都通过腹腔镜再次手术。结论：我们认为，通过长期的手腹腔镜手术修复腹股沟疝是一种安全有效的方法。它能够同时修复所有形式的腹股沟疝和对侧的通畅，从而巩固了其作为常规修复的可行替代方法的作用。

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