Techniques on Two-port Laparoscopic Internal Ring Suturing for Inguinal Indirect Hernia in Children≤3 Months Old
10.3969/j.issn.1009-6604.2025.09.010
- VernacularTitle:两孔法腹腔镜内环缝扎治疗年龄≤3个月腹股沟斜疝的手术技巧
- Author:
Xuelai LIU
1
;
Jingxuan SUN
1
;
Jianji XU
1
Author Information
1. 首都医科大学附属首都儿童医学中心普通外科,首都儿科研究所,北京 100020
- Publication Type:Journal Article
- Keywords:
Indirect hernia;
Internal ring suturing;
Laparoscopy;
Children
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(9):566-569
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and feasibility of 3-mm laparoscopic needle holder combined with 3-0 needle-thread nylon in external silk thread traction-assisted two-port laparoscopic internal ring suturing for the treatment of inguinal indirect hernia in children≤3 months old.Methods From January 2020 to September 2024,49 children ≤ 3 months old with indirect hernia underwent external silk thread traction-assisted two-port laparoscopic internal ring suturing.All the patients were found to complicated with redundant peritoneum around internal ring.Under transumbilical single-port laparoscopic monitoring,the 3-mm laparoscopic needle holder holing the 3-0 needle-thread nylon was inserted through the inferior edge of the internal ring,entering the peritoneum and traveling through the retroperitoneal space.The external nylon thread was advanced to drag the redundant peritoneum,allowing the suture needle cross the surface of the spermatic cord vessels,the Doom's triangle,and the vas deferens(boys)or the uterine round ligament(girls)in the retroperitoneal space,followed by circular suturing and closure of the internal ring.Results The surgery time was(13.5±2.5)min for the 35 cases of unilateral hernia and(24.5±3.5)min for the 14 cases of bilateral hernia.No intraoperative complications occurred,and all the patients were discharged within 6 h post-operation.Except for 3 children of lost to follow-up,46 children were followed up for 6-26 months(mean,9.5 months),with 19 cases followed for＞12 months.No complications such as recurrence,wound infection,hydrocele,iatrogenic undescended testicle,or testicular atrophy were observed during the follow-ups.Conclusion For children ≤ 3 months old with indirect hernia,the use of 3-mm laparoscopic needle holder combined with 3-0 needle-thread nylon in external silk thread traction-assisted two-port laparoscopic internal ring suturing enhances the flexibility and convenience of the procedure,being safety and feasibility.
