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首页> 外文期刊>Surgical Endoscopy >Single-incision laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: an initial report.
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Single-incision laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: an initial report.

机译：单切口腹腔镜经皮腹膜外闭合治疗儿童腹股沟疝：初步报告。

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摘要

BACKGROUND: This report describes the first use of single-incision, two-port access for single-incision laparoscopic percutaneous extraperitoneal closure (SILPEC) to manage inguinal hernia in children. METHODS: Between December 2009 and April 2010, 92 SILPECs of inguinal hernia and hydrocele were performed for 62 patients at Osaka City University Graduate School of Medicine. The SILPEC technique was performed using two ports (a 4.2-mm port placed using the open technique and an additional 4.2-mm port) inserted through the same periumbilical skin incision with different entrances through the abdominal wall. A 19-gauge LPEC needle (a special instrument with a wire loop at the tip to hold the material for circuit suturing around the internal inguinal ring) was used to close the orifice of the hernial sac extraperitoneally with circuit suturing around the internal inguinal ring. Data regarding patient demographics, type of hernia, operating time, complications, postoperative hospital stay, and recurrence were prospectively collected. RESULTS: The mean operative time was 26.9 min. The estimated blood loss was almost nil, and no intraoperative complications occurred. CONCLUSION: The use of SILPEC for inguinal hernia and hydrocele in children appears to be safe, effective, and reliable.
机译：背景：本报告介绍了单切口，双端口通路首次用于单切口腹腔镜经皮腹膜外闭合（SILPEC）治疗儿童腹股沟疝。方法：2009年12月至2010年4月，在大阪市立大学医学研究生院对92例患者进行了92例腹股沟疝和鞘膜积液的SILPEC。 SILPEC技术使用两个端口（通过开放式技术放置一个4.2毫米端口，另外一个4.2毫米端口）通过同一根脐周皮肤切口插入而通过腹壁的不同入口进行。使用19规格的LPEC针（一种特殊的器械，该器械的尖端有一个金属丝环，用于将用于腹股沟切开术的材料固定在腹股沟内环周围）用于腹膜外闭合疝囊的孔口，同时在腹股沟内圈周围进行缝合。前瞻性收集有关患者人口统计学，疝气类型，手术时间，并发症，术后住院时间和复发的数据。结果：平均手术时间为26.9分钟。估计失血几乎为零，并且没有发生术中并发症。结论：SILPEC用于儿童腹股沟疝和鞘膜积液似乎是安全，有效和可靠的。

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