[1]叶茂 李旭 张军 陈震 耿园园 刘雪来**.经脐环上缘疝修补术治疗儿童脐上3 cm以内白线疝[J].中国微创外科杂志,2024,01(1):41-44.
　Ye Mao,Li Xu,Zhang Jun,et al.Transumbilical Approach Repair for Hernia of Linea Alba Within 3 cm Above the Umbilicus in Children[J].Chinese Journal of Minimally Invasive Surgery,2024,01(1):41-44.
点击复制

经脐环上缘疝修补术治疗儿童脐上3 cm以内白线疝()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2024年1期
页码:
41-44
栏目:
临床研究
出版日期:
2024-01-25

文章信息/Info

Title:
Transumbilical Approach Repair for Hernia of Linea Alba Within 3 cm Above the Umbilicus in Children
作者:
叶茂 李旭 张军 陈震 耿园园 刘雪来**
(首都儿科研究所附属儿童医院普通新生儿外科，北京100020)
Author(s):
Ye Mao;  Li Xu;  Zhang Jun;  et al.
Department of General (Neonatal) Surgery, Children’s Hospital Affiliated to Capital Institute of Pediatrics, Beijing 100020, China
关键词:
白线疝; 经脐入路; 小儿
Keywords:
Hernia of linea alba; Transumbilical approach; Children
文献标志码:
A
摘要:
目的探讨经脐环上缘入路筋膜下间隙修补脐上3 cm以内白线疝的安全性和有效性。方法回顾性分析我院2016年6月~2022年7月白线疝修补术资料，26例彩超检查提示白线疝下缘至脐上缘距离≤3 cm，经脐环上缘入路筋膜下间隙实施白线疝修补术。男7例，女19例。年龄7个月~11岁，中位数3岁。疝囊下缘至脐上缘距离(1.46±0.66)cm，白线疝疝环直径(1.16±0.57)cm。结果手术过程顺利，手术时间(39.1±26.3)min，无并发症，术后1天出院。随访时间1年2个月~7年3个月，中位数5年1个月。无伤口感染、出血等并发症，无白线疝复发和皮肤肉芽肿形成。结论经脐环上缘入路修补儿童脐上3 cm以内白线疝安全、有效，切口美观。
Abstract:
ObjectiveTo investigate the safety and effectiveness of transumbilical repair for hernia of linea alba within 3 cm above the umbilicus.MethodsClinical data of 26 patients who underwent transumbilical approach hernia repair in our hospital from June 2016 to July 2022 were retrospectively analyzed. Color ultrasound examination showed that the distance from the lower edge of the hernia to the upper edge of the umbilicus was ≤3 cm. The hernia repair was performed through the fascial space via the upper edge approach of the umbilical ring. There were 7 boys and 19 girls. The age was 7 months to 11 years old (median, 3 years old). The distance from the lower edge of the hernia sac to the upper edge of the umbilicus was (1.46±0.66) cm, and the diameter of the hernia of linea alba was (1.16±0.57) cm.ResultsThe surgery was completed smoothly. The operation time was (39.1±26.3) min. No complication was noted. All the patients were discharged one day after surgery. The followups lasted for 1 year and 2 months to 7 years and 3 months (median, 5 years and 1 month). No wound infection, bleeding or other complications occurred. No recurrence of hernia or formation of skin granulomas happened.ConclusionTransumbilical approach repair for hernia of linea alba within 3 cm above the umbilicus is safe and effective, with good cosmetic results.

参考文献/References:

[1]Bouzada J,Gemmell C,Konschake M,et al.New insights into the development of the anterior abdominal wall.Front Surg,2022,9:863679.
[2]Xu D,Jin ZW,Kim JH,et al.Umbilicus and the rectus sheath:a study using human fetuses.Surg Radiol Anat,2020,42(4):461-471.
[3]张金哲,陈晋杰.小儿门诊外科学.北京:人民卫生出版社,2008.184.
[4]孙俊,黄雄,徐伟珏,等.腹腔镜治疗小儿腹直肌分离伴脐疝1例报告.中国微创外科杂志,2022,22(3):286-288.
[5]戴育坚,胡伟泽,陈浩,等.腹腔镜修补小儿腹白线疝:附12例报告.中国微创外科杂志,2021,21(2):186-188.
[6]Jun Z,Na J,Zhen C,et al.Singleincision laparoscopic approach for linea alba hernia in children.J Minim Access Surg,2019,15(1):42-45.
[7]阳明,储松,高泽强.白线疝的MSCT表现及临床应用价值.实用放射学杂志,2017,33(4):642-643.
[8]Honda S,Kawasaki T.Linea alba hernia with sternum separation.Intern Med,2022,61(12):1917.
[9]孙彬,陈文卫,初洪钢,等.超声显像在腹壁疝诊断中的应用.中华超声影像学杂志,2001,10(1):63.
[10]Albanese CT,Rengal S,Bermudez D.A novel laparoscopic technique for the repair of pediatric umbilical and epigastric hernias.J Pediatr Surg,2006,41(4):859-862.
[11]Ndong A,Tendeng JN,Soh GT,et al.Management of midline ventral hernias in a surgical department of subSaharan Africa:a retrospective cohort study.Ann Med Surg (Lond),2022,78:103801.
[12]关磊,陈杰,申英末,等.腹腔镜下腹腔内补片植入术治疗腹白线疝可行性分析.中华疝和腹壁外科杂志(电子版),2018,12(2):105-107.
[13]Noitumyae J,Mahatharadol V,Niramis R.Singleincision pediatric laparoscopic surgery:surgical outcomes,feasibility indication,and the systematic review.J Laparoendosc Adv Surg Tech A,2022,32(11):1190-1202.

备注/Memo

备注/Memo:
基金项目：北京市自然科学基金(7222015)；中国医学科学院小儿外科微创诊疗创新单元(2021RU015)；首都儿科研究所所级课题(LCYJ-2023-07)**通讯作者，Email：liuxuelai_steven@163.com
更新日期/Last Update: 2024-04-15