Epidural puncture needle cannula combined with laparoscopy to treat 25 cases of incarcerated indirect hernia in children

To explore the application value of epidural puncture needle cannula combined with laparoscopic reduction and high hernia sac ligation in children with indirect inguinal hernia incarceration in primary hospitals. Methods: 25 cases of children with indirect inguinal hernia incarcerated with epidural puncture needle outer tube combined with laparoscope to perform laparoscopy hernia reduction and hernia sac high ligation. Results: All 25 operations were successful. The time of hernia incarceration was 2 h~2 d, and the average time was (3±1) h. The operation time was 15-50 minutes, with an average of (30±15) minutes. There was no case of scrotal edema and avascular necrosis of the testis after operation. The length of hospital stay was 2 days. During the operation, 5 cases of contralateral occult hernia were found, and high hernia sac ligation was performed at the same time. Postoperative follow-up showed 1 case of recurrence and 2 cases of local induration of the incision corresponding to the inner ring opening. Conclusion: Epidural needle cannula combined with laparoscopic high ligation of the hernia sac for the treatment of incarcerated inguinal hernia in children has the advantages of less trauma, thorough exploration, safety and economy, and it can also find and treat the contralateral occult hernia at the same time. Advantages, suitable for clinical promotion, especially suitable for the majority of primary hospitals.

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