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首页> 外文期刊>Surgical Endoscopy >A continuous series of 96 laparoscopic inguinal hernia repairs in children by a new technique.
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A continuous series of 96 laparoscopic inguinal hernia repairs in children by a new technique.

机译：通过一项新技术连续进行的一系列96例儿童腹腔镜腹股沟疝修补术。

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BACKGROUND: The aim of this study was evaluate a novel technique of laparoscopic hernia repair in children. METHODS: Eighty two consecutive patients aged >or=2 years old were operated on for hernia repair using a laparoscopic technique that reproduced every step of the conventional open procedure. Technical details and clinical results are reported. RESULTS: Ninety six sacs were divided in 82 patients (15 girls and 67 boys). Fourteen bilateral hernias that had been diagnosed before operation in nine cases and during laparoscopy in five cases were repaired. Nine controplateral dimples were left and not repaired. Mean operative time was 23 min in girls and 28 min in boys for unilateral hernias, and 30 min in girls and 40 min in boys for bilateral hernias. Sixty-seven of the children were followed up 6 months later. None of them suffered recurrences. No unsightly scars were observed at the port sites. Discomfort did not extend beyond 48 h after the operation, enabling a rapid return to normal activities. CONCLUSION: Dividing the sac and suturing the peritoneum is feasible and efficient by laparoscopy. Compared with the other techniques that have previously been reported, either without any dissection of the sac or any ligature, our technique seems to be advantageous. It is not time consuming and does not require any special laparoscopic skill.
机译：背景：这项研究的目的是评估一种儿童腹腔镜疝修补术的新技术。方法：使用腹腔镜技术对82例年龄≥2岁的连续患者进行疝气修补，该技术再现了常规开放手术的每个步骤。报告了技术细节和临床结果。结果：96例囊被分为82例（15例女孩和67例男孩）。修复了9例在手术前和5例在腹腔镜检查中被诊断出的14例双侧疝。留下了九个对侧副酒窝并且没有修复。对于单侧疝，女孩的平均手术时间为23分钟，男孩为28分钟，对于双侧疝，女孩的平均手术时间为30分钟，男孩为40分钟。 6个月后对67名儿童进行了随访。他们都没有复发。在港口现场没有发现难看的疤痕。术后48小时内，不适感并未持续，可迅速恢复正常活动。结论：腹腔镜下行囊腔包扎缝合是可行，有效的。与以前报道过的其他技术相比，无论是没有进行囊的解剖还是结扎，我们的技术似乎都是有利的。它不费时，并且不需要任何特殊的腹腔镜检查技巧。

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