| 摘要 |
This paper is to evaluate the feasibility of miniincisional herniorraphy in children with inguinal hernia. The investigation was carried out on 142 pediatric patients, 112 boys and 30 girls, with ages between one to ten years, who underwent inguinal herniorraphy in Department of Surgery, National Taiwan University Hospital, from April 1995 to March 1997. The patients were randomly catagorized into two groups: the first, where herniorraphy was performed through a conventional incision (CONI); and the other, where surgery was through a miniincision (MINI). In CONI group patients, a transverse incision along the skin crease at the inguinal area, about 2 to 3 cm in length, was made. In MINI group patients, a transverse miniincision, less than 1 cm long, just above the silk sign region was made. The operation time, hospital stay, pain duration, complication and recurrence were analyzed and compared between these two groups. The total hernia numbers were 96 in the 76 CONI group patients (60 boys and 16 girls) and 80 in the 66 MINI group patients (52 boys and 14 girls). The average operation time for CONI group patients was 12 min 51 sec-7 min 12 sec (15 min
14 sec+4 min 12 sec in boys and 6 min 10 sec+2 min 14 sec in girls). The average operation time for MINI group patients was 16 min 27 sec-6 min 30 sec (18 min 42 sec+ 6 min 18 sec in boys and 9 min 11 sect2 min 26 sec in girls). It seems MINI group took a longer operation time than CONI group. However, there was no significant difference between these two groups. The length of hospital stay was the same for both. The pain duration was shorter in MINI group (1.0=0.2 vs 2.2-0.4 days). There was one wound infection, one wound hematoma, and no recurrence in CONI group patients. No operative complications or recurrence were noted in MINI group patients. The long-term cosmetic results were much better in MINI group patients, whose scars were nearly invisible. It is suggested that miniin-
cisional herniorraphy is feasible and recommended for children with inguinal hernia. |
