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Transverse wrinkles small incision hernia sac ligation treatment of children with inguinal hernia


Each one. Full-thickness skin and subcutaneous tissue eversion vertical mattress suture needle, suture removal after 6 days. 2 Results for 15 minutes operating time was the shortest, the longest 50 minutes. No difference with traditional surgery, no hospitalization, anesthesia can be discharged fully awake persons. Whole group of 164 patients were clinically cured patients. Complications occurred in 5 patients, the incidence of 3%. High fixed in 1 case in which testicular, scrotal edema, 2 cases were 3 to 5 days after operation subsided. 2 cases of recurrence,[link widoczny dla zalogowanych], the recurrence rate of 1.2%, the second operation cured. 3 Discussion In recent years, minimally invasive surgery is increasingly accepted. However, d, JL the treatment of inguinal hernia standard laparoscopic instruments because thick, with at least 3 abdominal operation holes. Obvious advantages compared with traditional surgery, so patients can not easily be accepted. And increased cost of treatment will increase the economic burden of patients. Transverse wrinkles small incision hernia sac ligation treatment of d, JL inguinal hernia incision selected because of their stripes at the lower abdomen and striae direction. Almost no scarring after healing. And trauma, kept under observation for several hours to go home rest, thereby reducing the cost of treatment to avoid the hospital environment and the psychological pressure caused by hospital cross-infection. 2.1 surgical procedures: a small transverse wrinkles I = I cut high ligation of hernia sac, because I = I cut small,[link widoczny dla zalogowanych], and I = I do not cut the skin above the ring, such as lack of experience when looking for the hernia sac may encounter some difficult. To be safe, effective, less complications and must comply with the following: (1) incision to take the top ring in the subcutaneous abdominal incision transverse wrinkles at the skin, use two small curved vascular clamp on both sides of the midpoint of the dermis layer of living incision brought to the side of the top of the skin, then cut blunt thyroid anatomy plus sharp separation of subcutaneous tissue to the outer office. (2) with curved forceps were isolated in good subcutaneous tunnel to the subcutaneous ring stretching, clamping the spermatic cord organization and proposed cut, if the testis can be seen holding accurately move up and down with the operation. (3) open cremaster muscle, in the spermatic cord within the side before finding the hernia sac, cut a small hernia sac mouth brought to the curved forceps into capsule proved, such as the end of the pubic bone above the hernia sac can be all of its stripping, otherwise it can be transected, distal allowed to open. So as to avoid unnecessary damage to the inner ring after stripping in the hernia sac and the neck with a pocket ... 8 'words through ligation of two, full-thickness skin,[link widoczny dla zalogowanych], subcutaneous tissue, a suture needle. 2.2 Complications: The incidence in this group 3%, mainly related to the degree of proficiency surgical operation, occurred in the early 1994-1997. According to the literature d, JL common complication of inguinal hernia with scrotal edema or hematoma, hernia recurrence and testicular high fixed, such as cutting the vas deferens, the other still damage the bladder, large blood vessel damage and nerve damage and so on. Suture because of the hernia sac hernia recurrence and more insecurity, not high ligation of hernia sac, or ligature caused some slippage. Liang Weichun reported by ligation of the hernia sac can be effective in preventing high-bit d, JL hernia recurrence. Free hernia sac to expose the preperitoneal fat, continue to the top of the separation of 0.5 ~ 1cln then ligated hernia sac. The treatment of d, JL No 360 cases of inguinal hernia recurrence in 1 case 【1】. Intraoperative bleeding is not completely the reason is to produce scrotal hematoma, and more due to the small blood vessels spasm Jibei ignored, spermatic cord and asked the adhesion of the hernia sac weight, wound around too much too free can cause extensive bleeding. High ligation of the hernia sac during surgery, distal edge of the hernia sac after careful hemostasis. Sac edge of a needle distance again stitched together. Conventional pressure on the wound after 24 hours of sand bags, can prevent the occurrence of scrotal hematoma. We appreciate the high fixed as long as the testicular sac sac before ligation with the clear separation of the spermatic cord tissue can be avoided, because it is not very easy to completely separate organization and the spermatic cord above the peritoneal hernia sac ligation of the neck together,[link widoczny dla zalogowanych], to be after ligation of the peritoneal tissue response times in situ spermatic cord will stretch upward shift, fixed testes high reoperation in 1 case confirmed this reason, the suture should be noted that when the abdominal wall to pull the testicles scrotum in situ】. Transverse wrinkles small incision hernia sac ligation treatment of d, JL inguinal hernia, because of damage, scar less, meet the requirements of cosmetology, parents of children vulnerable to interest received, and can be carried out in the outpatient operating room without hospitalization,[link widoczny dla zalogowanych], undoubtedly reduced treatment costs and hospital cross-infection and other complications.
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