Clinical Value of Laparoscopy Via Veress Needle with Thread in Children with Inguinal Hernia
Author(s): ZHENG Xiang-xin, GUAN Xiao-qing, WU Ji, GU Shu-cheng, YUAN Mu, ZHANG Xu-xu, QIU Xing, Department of General Surgery, Suqian People’s Hospital of Nanjing Drum-Tower Hospital Group
Pages: 468-471
Year: 2015 Issue: 4
Journal: Chinese Journal of Bases and Clinics in General Surgery
Keyword: Hernia; Inguinal; Veress needle; Laparoscopy; Child;
Abstract: 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.
Pages: 468-471
Year: 2015 Issue: 4
Journal: Chinese Journal of Bases and Clinics in General Surgery
Keyword: Hernia; Inguinal; Veress needle; Laparoscopy; Child;
Abstract: 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.
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