What is the rationale for hernia belts and do they just relieve symptoms? From a clinical point of view, a hernia belt is not advocated. Hernia is a physical change, it is a hole, you want to use a hernia belt to mend this hole is impossible, hernia belt only plays a role of support, will not solve the fundamental problem. For the weak, accompanied by other serious illnesses suspend surgery, you can temporarily use a hernia belt, the best homemade, do not add the medicine package. Why not advocate long-term use? Firstly, you need to have some experience to tie a hernia belt, if the belt is loose, it can’t support you, if it’s tight, it will affect the development of the spermatic cord and testicles, especially the kind of hernia belt with medication packs sold on the market, which is harmful to the patient’s health. Secondly, prolonged use of the hernia belt is also likely to cause adhesion of the hernia contents, increasing the chance of incarceration, and increase the difficulty of surgery. Parents are most concerned about minimally invasive surgery, can you tell us about the surgery? Surgery is the only reliable way to cure hernia. There are two types of surgical treatment: traditional open surgery and minimally invasive laparoscopic surgery. Laparoscopic surgery has many advantages over traditional open surgery: 1. The hernia ring opening, surrounding blood vessels, and vas deferens are clearly visible under the laparoscopic lens, and the inner ring opening can be ligated in a circular fashion under direct vision. There is no need to dissect and separate any tissue, so it is not easy to damage. 2.It can check and find out whether there is hidden hernia on the other side at the same time, avoiding re-operation when the opposite side hernia is found soon after the operation. Minimally invasive surgery can treat bilateral hernia at the same time without additional incision. 3, laparoscopic can achieve a real hernia sac high ligation, safe, reliable, reduce the recurrence rate after surgery. 4.Small incision, small trauma, short operation time, postoperative pain is light, scrotum is not swollen and painful, fast recovery and aesthetic. 5. Especially for recurrence cases, it is safe and easy to operate without going through the original surgical incision and without separating the spermatic cord, so it is not easy to recur again. 6. There is no more restriction after the operation. After you are awake from anesthesia, you can eat and get out of bed. Is this minimally invasive surgery suitable for every child with inguinal hernia? Yes. As long as there is no serious pre-existing heart disease, anemia, respiratory disease, etc., all can do minimally invasive surgery, especially single-port laparoscopic minimally invasive surgery. With the wide application of laparoscopic technology in the clinic, the technology is becoming more and more mature, has been improved from the original three holes to put three poke cards (navel and navel on both sides, the two sides of the umbilicus from the umbilicus 3-100px) to two holes to put two poke cards operation (reduce the umbilicus next to a hole). At present, the two-hole technology has matured, the major hospitals have been carried out. The less holes the less trauma the more beautiful, in order to be able to achieve better minimally invasive effect, in recent years, many scholars began to study the single-hole technology, is the direction of development, but also minimally invasive surgery and the families of children with common expectations. However, there is a bottleneck of one-handed operation in the single-hole technique without auxiliary forceps, so it can only be done by selecting easy-to-do female or very few male hernias, which can be done in a few percent, but not in 100 percent. As a result, the single-port technique, even if it is good, cannot be popularized. In order to facilitate the development of some hospitals to study the use of umbilical enlargement incision, also known as single hole, some in the umbilical edge of the two holes, the operating forceps and laparoscopy are from the enlarged umbilical incision or neighboring incision into the, said to be considered a single hole, did not leave the umbilical fossa, but in fact does not reduce the trauma to achieve the purpose of a truly minimally invasive, in addition to the operating forceps and mirrors next to each other are easy to collide with each other, the chopstick effect occurs, to the operation to bring more Inconvenience. In order to make every pediatric hernia can be successfully completed under single-port laparoscopy, neither enlarging the umbilical incision, nor increasing the umbilical perforation, punching holes only to put laparoscopes, and also using the auxiliary forceps. We have developed a needle-like thin operating forceps, which I call “needle forceps”, to replace the auxiliary forceps without scarring. The white line of the lower abdomen is the thinnest part of the abdominal wall like the umbilicus, which is characterized by the absence of blood vessels and muscles, making it less painful and easier to insert the needle. After the needle is inserted, it is used as a pincer, which plays the auxiliary role of a pincer and avoids the chopstick effect. It is simple, flexible and convenient, resulting in less trauma, shorter operation time, no scar after the needle is pulled out, less postoperative pain, and quicker recovery. You can eat, drink and play on the same day after the operation, and you will be discharged from the hospital on the same day. We have used this single hole technique for all pediatric hernias in the last two years without any unsuccessful cases.