Pediatric inguinal hernia sac ligation Improvement.docVIP

 PAGE \* MERGEFORMAT 6 Pediatric inguinal hernia sac ligation Improvement [Keywords:] indirect inguinal hernia; high ligation of hernia sac Inguinal hernia is a common disease of children, the hernia sac ligation is an effective treatment, but after about 1% of the relapse rate [1], require reoperation. To reduce the recurrence rate of surgery, our department from February 2003 onwards, in children with indirect inguinal hernia sac ligation method has been improved and achieved good results. is the final report is as follows. Materials and Methods 1. General Information The group of 203 cases, 194 cases of males and 9 females. Children aged 15 days to 13 years old, an average of 4.1 years. Hernia incarcerated emergency surgery in 26 cases, including 2 cases of intestinal necrosis in elective inguinal hernia sac ligation via 177 cases . intraoperative findings as sliding hernia in 6 cases, and the other 197 cases for the general oblique hernia. 2. Surgical methods Stripes are used abdominal incision, about 2 cm, found in front of the hernia sac within the spermatic cord after transection, with a hemostat proximal occlusion of the hernia sac for transverse traction, while pulling the free edge to see the hernia sac extraperitoneal fat neck sac about 1 ~ 2 cm above the stop, free process due to the hernia sac is always in a closed state, the operation is simple and very few tears, and then another to clamp clamp in the hernia sac high as possible, clamp folder to start the hernia sac wall, reduce wrinkles, continue to clamp traction with the first sac, with 4 or 7 # # hemostat proximal continuous thread in the “S”-shaped suture through the hernia sac, which is equivalent to “ outside the pocket “of suture, the suture line around the proximal re-ligation. incarcerated hernia sac cut after the first treatment, but also satisfied that the hernia contents, full free sliding inguinal hernia is also satisfied that underwent hernia sac contents recon