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.

OBJECTIVETo investigate the safety and efficacy of endoscopic duodenal valvectomy in the treatment of congenital duodenal membranous stenosis.

METHODSClinical data of two children with congenital duodenal membranous stenosis undergoing endoscopic duodenal valvectomy in our institute within October 2014 were analyzed retrospectively. This procedure was performed with Microknife XL and CRE balloon catheter through porous channel in the 9 mm flexible endoscope.

RESULTSThe first case was a 2-year-old boy who received two endoscopic operations including duodenal diaphragm resection and duodenal dilatation because of incision retraction. The second case was a 19-month-old gril who received once endoscopic duodenal valvectomy. Duodenal obstruction of these two children was relieved after operation. Postoperative x-rays showed no perforation. They could play in the floor 6 hours after operation without any complains, drink water 12 hours, take liquid diets 2 days and half solid food 3 days after operation. During follow-up a month after operation, the body weight gained was 1.5 and 1.0 kg respectively, and the dietary components was significantly improved.

CONCLUSIONEndoscopic duodenal valvectomy is feasible and effective in the treatment of congenital duodenal membranous stenosis.

Child, Preschool ; Constriction, Pathologic ; Duodenal Diseases ; Duodenoscopy ; Female ; Humans ; Infant ; Intestinal Atresia ; Intestine, Small ; abnormalities ; Male ; Retrospective Studies