In one article: knowledge of laparoscopic surgery for pediatric inguinal hernia

  Pediatric inguinal hernia is a common surgical condition that, if left untreated, can lead to hernia impaction, intestinal perforation, and in severe cases, may cause permanent dysfunction and seriously affect the function of the reproductive system.  Currently, laparoscopic surgery is the preferred surgical procedure for the treatment of inguinal hernia, with the characteristics of less trauma and shorter recovery time.  What is a pediatric inguinal hernia Pediatric inguinal hernia is the most common disease in general surgery. During the embryonic period, there is a “peritoneal sheath” in the groin, and in some children, this sheath closes incompletely after birth, causing the small intestine, omentum, ovaries, and fallopian tubes in the abdominal cavity to enter this sheath, which becomes a hernia. Most of the time, a protrusion will form in the groin, especially when the child is crying and straining, such as when the child is having a bowel movement. However, there are cases where the bulge is not visible or even invisible.  If left untreated, the protrusion may get stuck in the child’s intestinal wall. If the protrusion is not reset in time, insufficient blood supply may occur, leading to hernia impaction and intestinal perforation, which may cause permanent dysfunction in severe cases, as well as abdominal pain, bloating and vomiting. The hernia may also cause insufficient blood supply to the ipsilateral testicle, leading to atrophy. In girls, the hernia protrusion usually wraps around one ovary, which can lead to ischemic necrosis of the ovary if left untreated. It may even affect the child’s psychological development, leading to introversion and other personalities.  Advantages of inguinal hernia surgery The traditional surgical approach uses a 2-5 cm surgical incision in the inguinal region for treatment, and a bilateral inguinal hernia takes a bilateral surgical incision in the inguinal region. Compared with laparoscopic surgical treatment, which is highly traumatic, not easy to find hidden hernia in the contralateral inguinal area and easy to have postoperative contralateral morbidity to operate again, the intraoperative magnification effect of laparoscopic surgery can clearly distinguish blood vessels and spermatic cords to avoid side injuries, which can ensure the surgical effect of high ligation of hernia sac, the surgery is relatively simple and colleagues can explore the abdominal cavity to exclude other diseases, and the postoperative pain is small and basically painless, and about 3 days The surgery is relatively simple and can be performed by the same colleague to explore the abdominal cavity to exclude other diseases. At present, “two-hole laparoscopic high ligation of hernia sac” and “single-hole laparoscopic high ligation of hernia sac” are mostly used, which is a preferred surgical procedure for patients over 3 years old in areas where conditions are available. Patients can usually be discharged the same day or the next day, with a follow-up visit one week after surgery.