First, what is a pediatric inguinal hernia Any organ or tissue left the original site, through the body’s normal or abnormal weak points or defects, holes into another step, that is called hernia. Pediatric inguinal hernia is the protrusion of intestines or other organs from the inguinal canal through an unclosed sheath-like protrusion. It is the most common disease in children, more male than female, more right than left, but also bilateral. Second, what is the impact of pediatric inguinal hernia? The hernia block repeatedly appears to return or long-term compression of the spermatic cord, affecting the spermatic cord blood circulation, affecting testicular development; ② hernia block with the course of the disease and increase the difficulty of surgery; ③ hernia block can be incarcerated or strangulation life-threatening; ④ due to the repeated entry of the intestinal tube into the hernia sac, affecting the intestinal digestive function, most of the children’s digestive function is poor, the body thin, the growth of the child has a certain impact. Third, how old is the child appropriate for surgery? Before 6 months of age, there is a possibility of self-healing, generally do not recommend surgery; after 6 months, according to the child’s specific situation, to determine the timing of the operation, if the hernia episodes are frequent, the lump is getting bigger and bigger, it is recommended to operate as soon as possible; if the hernia episodes are occasional, and the lump is getting smaller and smaller, then you can be 1 year old to make a decision. Fourth, there is no non-surgical treatment Strongly opposed to: ① hernia belt therapy, that is called card, generally do not use, the use of hernia belt long-term compression to make the local muscle atrophy adhesion, to bring difficulties in surgery. ② injection therapy, absolutely undesirable. Blind injection of sclerosing agent can cause testicular atrophy, cryptorchidism, intestinal adhesions intestinal necrosis and other serious consequences. Fifth, what is the traditional surgical method? In the child’s pubic bone, equivalent to the outer edge of the rectus abdominis muscle in the natural fold of the skin to do oblique incision. This incision needs to be slightly higher and flatter than the incision in adults. After incision of the superficial subcutaneous fascia, the tendon membrane of the external oblique abdominal muscle and the external ring, which is proportionally larger than in adults, are visualized. In children, the inguinal canal is short, mostly around 1 cm, and the spermatic cord and hernia sac can be revealed by pulling the outer ring in an outward direction with a small pulling hook, and then separating the levator muscle with hemostatic forceps. The hernia sac is divided, lifted with hemostatic forceps and then cut to enlarge the hernia sac incision, and its edges are lifted with hemostatic forceps and spread flat. Between the inner and outer rings, a pair of tissue scissors is extended between the wall of the sac and the spermatic cord to sharply separate around the hernia sac and transect the wall of the hernia sac. VI. What is the minimally invasive surgical approach? What are the advantages? Minimally invasive surgery is laparoscopic surgery, the above steps are basically omitted, that is, in the umbilicus to cut a 2-5mm incision, placed in the laparoscopic lens, percutaneous insertion of suture needles, direct suture of the inner ring of the mouth of the surgical method, with the superiority of the traditional surgery can not be compared. 1, laparoscopy can explore the opposite side, to avoid missing bilateral hernia; 2, small trauma, short operating time, fast recovery, less pain, short hospitalization; 3, no damage to the spermatic cord and vas deferens, no postoperative scrotal erythema and stripes of spermatic cord; 4, no abdominal scar, postoperative cosmetic effect is good, does not affect the future of the military and other medical examinations; 5, can be truly high-ligation, the chances of recurrence are small after the operation.