Laparoscopic hernia repair in childrens nursing.docVIP

 PAGE \* MERGEFORMAT 13 Laparoscopic hernia repair in children’s nursing [Keywords:] pediatric hernia, laparoscopy, nursing In recent years, minimally invasive surgery to the direction of the field, laparoscopic inguinal hernia repair because of its cosmetic effect is obvious, safe, minimally invasive, quick recovery, etc., can develop rapidly. My children with the purposes of Section 90 cases of laparoscopic inguinal hernia repair, all the security perioperative period, results were satisfactory. a good and careful preoperative preparation and meticulous postoperative care, the treatment of the important support and ensure success, the group had no major complications in 1 patient. now Nursing report will be as follows. 1 Clinical data 1.1 General Information Our department from July 2008 to October 2009 using laparoscopic inguinal hernia repair in children 90 cases were male patients, aged 8 months to 10 years, mean 5-year-old .90 cases in which indirect inguinal hernia 62 cases, direct inguinal hernia in 28 cases, the group underwent laparoscopic hernia repair. 1.2 Methods Forbidden to eat the day before surgery in children with sweets and other food gas prone, preoperative fasting 8 ~ 12 h, into the operating room the front row empty the bladder. With ketamine anesthesia can fully meet the basic needs surgery, anesthesia endotracheal intubation can be applied . more children can be continuous epidural anesthesia, additional basis for strengthening anesthesia. umbilical incision 0.5 cm, insert the Veress needle-made CO2 pneumoperitoneum, abdominal pressure maintained at 0.53 ~ 0.80 kPa, made this observation hole put hole casing. ipsilateral lower abdominal hernia cut 0.25 cm along the direction of striae small mouth hole into the casing to do secondary operations. laparoscopic guidance, to find inner mouth projection in the 12 o’clock position of the body surface, where spines 0.2 cm small mouth, with with a special belt line 7 crochet