Journal of Developmental Medicine(Electronic Version)  2018, Vol. 6 Issue (2): 77-81 DOI: |
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| Clinical application for single-port laparoscopic percutaneous extraperitoneal closure in the treatment of inguinal hernia in children |
| LIU Xue-lai, ZHANG Chuang, ZHANG Yong-ting, et al
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| LIU Xue-lai, ZHANG Chuang, ZHANG Yong-ting, LIU Lin, LI Suo-lin (Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, Hebei, Shijiazhuang 050000, China ) |
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Abstract Objective To conclude the clinical application of inner two-hooked cannula assisted single-
port laparoscopic percutaneous extraperitoneal closure (SPLPEC) in the treatment of inguinal hernia in
children and to explore its feasibility and safety. Methods From July to October 2017, 17 children with
inguinal hernia in Department of Pediatric Surgery of The Second Hospital of Hebei Medical University
underwent SPLPEC. Under the visualization of single port laparoscopic, an inner two-hooked cannula with
a suture was introduced into extraperitoneal space at the corresponding point of the internal inguinal ring,
that could be readily kept in an identical subcutaneous path. The internal ring ori?ce was absolutely lassoed
extraperitoneally by the suture without peritoneal punctures and withdrawn on the opposite side using the
cannula around the internal ring with or without the hydrodissection technique. Results Among the
17 cases of children, 11 cases were unilateral inguinal hernia and 6 cases were bilateral inguinal hernia.
The mean operating time of unilateral was (10.5±2.3) minutes and that of bilateral inguinal hernia
was (16.6±1.5) minutes. There were no intra-operative complications. Following up for 2-5 months
after operation, there were no wound infection, iatrogenic cryptorchidism or testicular atrophy and othercomplications. And no recurrence, hydroceles and suture granuloma formations were found. Conclusion
Inner two-hooked cannula assisted SPLPEC is a simple, safe and effective method. It avoids puncture on
the peritoneal. Inner two-hooked cannula and suture do not put and withdraw via intraperitoneal, achieving
extraperitoneal ligation of inner ring completely.
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Received: 09 January 2018
Published: 22 May 2018
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