Clinical observation of laparoscopic treatment used in autologous tissue repair for curing children's indirect inguinal hernia (190case reports attached)

Abstract

Objective Study the clinical value of using laparoscopic treatment in the autologous tissue repair for curing children's indirect inguinal hernia. Method Review and analyze 190 children's indirect inguinal hernia cases cured by using laparoscopic high ligation of hernia sac and autologous tissue repair in the past 5 years. Out of them, 153 cases are unilateral indirect hernia and 37 cases bilateral indirect hernia.183 cases (including 11 recurrent hernia cases) are normal cases of oblique hernia and 7 are urgency cases of incarcerated oblique hernia. Results All 190 cases have successful operations. The average operation time for unilateral indirect hernia is 10 minutes.Forbilateralindirect hernia,it is 18 minutes.The average time of stay in hospital is 1 day and there is no complication occurred after operation. Follow-up visits have been carried out for all cases. The duration ranges from 6 months to 5 years and there are five recurrent cases.Conclusion It is effective to use laparoscopic treatment in the autologous tissue repair for curing children's indirect inguinal hernia. It has many advantages, such as short operation time, few operative damages and complications, low recurrence rate and quick recovery. The treatment can be applied to contra-lateral oblique inguinal hernia or bilateral inguinal hernia repairs. Key words: Laparoscopic Treatment; Autologous Tissue Repair; Internal Ring High Ligation; Indirect Inguinal Hernia