Transumbilical Approach Repair for Hernia of Linea Alba Within 3 cm Above the Umbilicus in Children
10.3969/j.issn.1009-6604.2024.01.008
- VernacularTitle:经脐环上缘疝修补术治疗儿童脐上3cm以内白线疝
- Author:
Mao YE
1
;
Xu LI
;
Jun ZHANG
;
Zhen CHEN
;
Yuanyuan GENG
;
Xuelai LIU
Author Information
1. 首都儿科研究所附属儿童医院普通新生儿外科,北京 100020
- Keywords:
Hernia of linea alba;
Transumbilical approach;
Children
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(1):41-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and effectiveness of transumbilical repair for hernia of linea alba within 3 cm above the umbilicus.Methods Clinical data of 26 patients who underwent transumbilical approach hernia repair in our hospital from June 2016 to July 2022 were retrospectively analyzed.Color ultrasound examination showed that the distance from the lower edge of the hernia to the upper edge of the umbilicus was≤3 cm.The hernia repair was performed through the fascial space via the upper edge approach of the umbilical ring.There were 7 boys and 19 girls.The age was 7 months to 11 years old(median,3 years old).The distance from the lower edge of the hernia sac to the upper edge of the umbilicus was(1.46±0.66)cm,and the diameter of the hernia of linea alba was(1.16±0.57)cm.Results The surgery was completed smoothly.The operation time was(39.1±26.3)min.No complication was noted.All the patients were discharged one day after surgery.The follow-ups lasted for 1 year and 2 months to 7 years and 3 months(median,5 years and 1 month).No wound infection,bleeding or other complications occurred.No recurrence of hernia or formation of skin granulomas happened.Conclusion Transumbilical approach repair for hernia of linea alba within 3 cm above the umbilicus is safe and effective,with good cosmetic results.
