摘要
目的探讨腹腔镜小儿腹股沟斜疝高位结扎术后腹股沟穿刺伤口并发症的原因以及防治对策。方法回顾性分析2003年10月至2013年5月12例行腹腔镜小儿疝手术后发生腹股沟穿刺伤口并发症患者的临床资料。结果 5例出现腹股沟伤口线结异物瘘,需拆线处理;4例伤口异物感;3例为线结处皮下小脓肿,均予拆线换药处理后伤口愈合;12例中有8例发生复发性斜疝或者精索睾丸鞘膜积液。结论腹腔镜小儿疝手术后腹股沟穿刺伤口并发症的发生与患儿体型消瘦、皮下脂肪层薄、结线埋得过于表浅、同时结扎过多腹壁组织等因素有关,容易引起术后复发。
Objective To analysis the cause and prevention of inguinal puncture wound following laparoscopic high ligation for inguinal hernia in children. Methods Clinical data of 12 children with inguinal puncture wound following laparoscopic indirect high ligation for inguinal hernia in our center from October 2003 to May 2013 were analyzed retrospectively. Result Of 12 cases of inguinal puncture wounds, 5 were line foreign reaction fistula, 4 foreign body sensation, and 3 small subcutaneous abscess. The wound cured in all 12 cases after stitches taking out and medicine changing. Among them, 8 children were diagnosed with recurrent hernia or spermatic cord hydrocele of testis later on. Conclusions The incisional hernia following laparoscopic surgery in children is related to the thickness of subcutaneous fat, the line knot′s position, and including too much abdominal wall tissue during ligation.
出处
《微创医学》
2014年第1期82-84,共3页
Journal of Minimally Invasive Medicine
关键词
腹腔镜
小儿腹股沟斜疝
术后并发症
高位结扎术
穿刺伤口
Laparoscope
Indirect inguinal hernia in children
Postoperative complications
High ligation
Puncture wound
