ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ THOÁT VỊ BẸN Ở TRẺ EM BẰNG KIM KHÂU XUYÊN QUA DA DƯỚI HƯỚNG DẪN PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN SẢN NHI TỈNH HẬU GIANG

Abstract

Objective: Evaluate the results of surgery to treat inguinal hernia in children treated with needles through the skin under laparoscopic guidance. Method: retrospective study on 68 pediatric patients with inguinal hernia at Hau Giang Provincial Obstetrics and Pediatrics Hospital from 2021 - 2023. Results: Among 68 pediatric patients with indirect inguinal hernia, there were 59 (86) .76%) male, 9 (13.24%) female. The average age was 5.31 ± 4.06 years. There were 61 (89.7%) cases of pediatric patients hospitalized because of a bulge in the inguinal and scrotal area. Examination and palpation of the hernia in 53 (77.94%) cases. The disease is more common on the right side than the left side (65.67% vs. 25.53%). The average surgical time was 6.13 ± 1.93 (minutes) for unilateral cases and 9.65 ± 2.8 (minutes) for bilateral cases. All cases had no complications during surgery. There were 11.76% (8/68) cases of contralateral hernia detected. After surgery, 1 case of scrotal swelling was recorded (1.47%). Conclusion: Inguinal hernia surgery using percutaneous suture needles under laparoscopic guidance should be applied routinely with equivalent and better results than open surgery. The advantages include: simple technique, short surgery time, checking the deep inguinal holes on both sides, and the incisions are almost very small.