腹横纹小切口治疗小儿腹股沟斜疝（Treatment of indirect inguinal hernia in children by abdominal small incision）.docVIP

腹横纹小切口治疗小儿腹股沟斜疝（Treatment of indirect inguinal hernia in children by abdominal small incision） Treatment of indirect inguinal hernia in children by abdominal small incision All children were treated with ketamine and ketamine 6 to 8mg per kilogram of body weight, intramuscular injection or 3mg static push. Operation procedure: 1. Preoperative children Fasting 6h, no 4H; choice of incision: in the inner part of the inguinal canal or abdomen In 1. 0cm above the inguinal ligament (if abdominal transverse striation is not obvious along the ventral stripes do) A transverse incision of about 1 ~ 1. 5cm; the main points of operation: incision of skin and skin in sequence Under the organization, with a skin hook to pull downwards from 1 to 2cm found outside the ring, blunt dissection forceps Enter the inguinal canal from the outer ring (without opening the external oblique, aponeurosis, and outer ring) The inside of the cable opens the levator testis and finds the hernial sac (porcelain, soft white tissue) and cuts and proves it Real. If the hernia sac is smaller, it should be completely removed, and the larger hernial sac should be transected first The ends are free, and the proximal end is free to the inner ring Weave, a local tissue thickening, milky white), protect the spermatic cord blood vessels and vas deferens, In the inner mouth line No. 4 and No. 1 suture ligation, from the cut to more about 1cm Hernia sac tissue. Observe the prevention and treatment of the distal border of the hernia sac and the separation of the spermatic cord Hematoma after formation. Pull the testicles from the affected side of the scrotum before it is stitched up so that it can be relaxed Pull to the bottom of the scrotum to prevent the formation of iatrogenic cryptorchidism. For external ring mouth, because of operation If you want to enlarge, you can stitch it and shorten it. Incision treatment: according to the length of incision Subcutaneous tissue suture 1~2 needle, so that the skin to t