Modified laparoscopic ultra-high ligation of the hernia sac with peritoneal suspension for treatment of inguinal hernia in children

Abstract

Objective To detect the effect of laparoscopic ultra-high ligation of the hernia sac with peritoneal suspension in treating the inguinal hernia in children. Methods Improvement of routine laparoscopic high ligation of the hernia sac: a needle with the double Prolene suture was subcutaneously punctured, rotated 1/2 turn one side of the inner ring, and placed into the abdominal cavity. Another needle with the single suture was guided through the same punctured point, were rotated 1/2 turn to another side of the inner ring, and the double-stranded suture brought out the single-stranded suture. Single-stranded suture was pulled and part of the peritoneal suspension formed with fold and knot. With this modified surgical procedure, 104 patients were operated on to observe the average operation time, length of stay, postoperative recurrence rate, and the incidence of postoperative complications, and evaluate the surgical effect. Results The operation time was (15.3±2.1) minutes for unilateral hernia and (21.7±3.3) minutes for bilateral. The average length of stay after surgery was (13.5±3.7) hours. There were no major complications such as scrotal hematoma or hemorrhage after surgery. Conclusion The laparoscopic ultra-high ligation of the hernia sac with peritoneal suspension is simple and safe for the treatment of children's inguinal hernia. It is easy to obtain and is worthy of further practice for clinical promotion. Key words: Hernia, inguinal; Laparoscopes; Ultra-high ligation of hernia sac; Peritoneal suspension; Children