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- W2361390228 abstract "Objective:To study the clinical value of laparoscopic approach to acutely incarcerated inguinal hernia in children.Methods:From Jan.2002 to Dec.2006,45 patients(aged 10 weeks to 7 years;median,3.8 years;42 male,3 female) with acutely incarcerated inguinal hernia underwent immediate laparoscopy after unsuccessful manual reduction.The hernial content was reduced in a combined technique of external manual pressure and internal pulling by forceps.The bowel was inspected,the hernia was repaired,then the median umbilical fold was sutured on the internal ring to repair the defect.Results:In all 45 patients,the procedure was successful.No conversion to the open approach was required.The mean operative time was 30min(range,10-50min),the recovery time of bowel function was 6.2h(range,4-10h) and the hospitalization time was 4.5d(range,2-7d).No complications occurred.During a follow-up period of 6 to 48 months,there was no recurrence and atrophy of testis.Conclusions:The advantages of the laparoscopic approach to acutely incarcerated inguinal hernia in children are as following:simultaneous reduction under direct visual control,inspection of the incarcerated organ,and definitive repair of the hernia.It appears easier than the conventional approach because the internal inguinal ring is widened by intraabdominal carbon dioxide insufflation.The procedure is worth being promoted clinically with shorte hospitalization and fast recovery." @default.
- W2361390228 created "2016-06-24" @default.
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- W2361390228 date "2007-01-01" @default.
- W2361390228 modified "2023-09-24" @default.
- W2361390228 title "Laparoscopic approach to acutely incarcerated inguinal hernia in children:a report of 45 cases" @default.
- W2361390228 hasPublicationYear "2007" @default.
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