Single-port Laparoscopy with Modified Epidural Needle for Indirect Inguinal Hernia in Children:Report of 70 Cases / 中国微创外科杂志

ABSTRACT

Objective To evaluate the efficacy of laparoscopic treatment with one trocar for children with indirect inguinal hernia. Methods From May 2007 to December 2008,70 children with indirect inguinal hernia underwent laparoscopic high ligation of hernia sac by using a modified epidural needle in our hospital. Among the patients,56 children aged from 6 months to 3 years,10 aged 4 to 7,and 4 aged 7 to 13. Nineteen of the children had the disease in both sides,while the other 51 had unilateral hernia. A trocar was place into the abdominal cavity through the umbilicus with a modified epidural needle to introduce 4-0 silk suture. High ligation of the hernia was then performed,and fixed on the abdominal wall. Results The operation was successfully completed in all of the cases. The operation time ranged from 5 to 15 min in unilateral cases,and 15 to 30 min in bilateral cases. Follow-up was achieved for 3 to 21 months in this series (over 12 months in 22 cases). During the period,no recurrence was found. Conclusions Laparoscopic high ligation of inguinal hernia sac with modified epidural needle is effective for children with minimal invasion and a low recurrence rate,without leaving scars at the abdomen.