关键词: 高位结扎术, 补片修补, 解剖学, 儿童腹股沟疝

Abstract:

Surgical consideration of pediatric inguinal hernia                     CHEN Shuang, ZHOU Tai-cheng. Department of Gastroenterological Surgery and Hernia Center，the Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou 510655，China
Corresponding author：CHEN Shuang，E-mail：sysusc@126.com
Abstract    Children's pelvic and abdominal wall muscles have not yet matured. The inguinal canal is shorter (can be less than 1cm), and the ratio of thickness of abdominal wall to length of inguinal canal is almost 1:1. The distance between the internal ring and the external ring is so close that only requires a high level of ligation at internal ring, lacking of repairing basis. As the growth and development of pelvis, the length of the inguinal canal will also increase. Generally, when the length is more than 3cm, there is the basic conditions of inguinal hernia repair, therefor under the age of 14 with groin hernia, the patient only need to receive a high ligation of the sac to restore the length and slope of the inguinal canal. Laparoscopic surgery is also in accordance with the basic principle. Mesh repair in primary inguinal hernia in childhood is suspected of overtreatment, at least is academical controversal.

Key words: high ligation, mesh repair, anatomy, pediatric inguinal hernia