PDF(Sci-hub)
Abstract：
OBJECTIVE: The purpose of this report was to evaluate the safety and efficacy of the simple laparoscopic percutaneous extraperitoneal closure (LPEC) method for treating ovarian hernia patients, including newborns and low-birth-weight infants.
METHODS: We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017.
RESULTS: Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). The mean corrected age was 2.3 ± 2.8 months and the mean body weight was 4.4 ± 1.6 kg. The contralateral positive rate was 53%, and 34% of the cases showed sliding of the fallopian tube. Umbilical hernias were observed in 24 cases (71%). The mean operative time was 53 ± 20 minutes. The LPEC procedure was successful in 32 cases; two cases were converted to open surgery.
CONCLUSIONS: Small infants with ovarian hernia have some specific features such as a shortened round ligament and the presence of peritoneum cavities that require skillful techniques when being surgically repaired. The simple LPEC procedure can be performed safely with a low risk of recurrence, even in infants with sliding of the fallopian tube.
METHODS: We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017.
RESULTS: Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). The mean corrected age was 2.3 ± 2.8 months and the mean body weight was 4.4 ± 1.6 kg. The contralateral positive rate was 53%, and 34% of the cases showed sliding of the fallopian tube. Umbilical hernias were observed in 24 cases (71%). The mean operative time was 53 ± 20 minutes. The LPEC procedure was successful in 32 cases; two cases were converted to open surgery.
CONCLUSIONS: Small infants with ovarian hernia have some specific features such as a shortened round ligament and the presence of peritoneum cavities that require skillful techniques when being surgically repaired. The simple LPEC procedure can be performed safely with a low risk of recurrence, even in infants with sliding of the fallopian tube.
摘要：
目的：本报告的目的是评估简单的腹腔镜经皮腹膜外闭合（LPEC）方法治疗卵巢疝患者的安全性和有效性。包括新生儿和低出生体重婴儿。
方法：我们回顾性分析了2012年5月至2017年9月在我院接受治疗的卵巢疝病例。
结果：本研究包括34名婴儿（右侧，n=8；左侧，n=22；双边，n=4)。平均校正年龄为2.3±2.8个月，平均体重为4.4±1.6kg。对侧阳性率为53%,34%的病例表现为输卵管滑动。脐疝24例(71%)。平均手术时间为53±20分钟。32例LPEC手术成功；2例转换为开放手术。
结论：患有卵巢疝的小婴儿有一些特殊的特征，如圆韧带缩短和存在腹膜腔，在手术修复时需要熟练的技术。简单的LPEC手术可以安全地进行，复发风险低，甚至在输卵管滑动的婴儿中。
方法：我们回顾性分析了2012年5月至2017年9月在我院接受治疗的卵巢疝病例。
结果：本研究包括34名婴儿（右侧，n=8；左侧，n=22；双边，n=4)。平均校正年龄为2.3±2.8个月，平均体重为4.4±1.6kg。对侧阳性率为53%,34%的病例表现为输卵管滑动。脐疝24例(71%)。平均手术时间为53±20分钟。32例LPEC手术成功；2例转换为开放手术。
结论：患有卵巢疝的小婴儿有一些特殊的特征，如圆韧带缩短和存在腹膜腔，在手术修复时需要熟练的技术。简单的LPEC手术可以安全地进行，复发风险低，甚至在输卵管滑动的婴儿中。
