The new device for extracorporal herniotomy in children

Abstract

In recent years, approach to surgical treatment of congenital inguinal hernia at children cardinally changed, and first of all, it is bound to daily introduction and use of a laparoscopy which allows “to approach” a problem with another side, and technology of operation practically excludes contact with ductus. In the last time a new method of an inguinal herniotomy in children - a video assisted percutaneous internal ring suturing (PIRS). From June, 2012 till January, 2016 by a technique of PIRS in our clinic was operated 369 children with congenital inguinal hernia. We developed: the device for suturing of an internal abdominal ring and a needle for a herniotomy (Patents for the useful RU 153074 U1 and RU 163478 U1 model “The Device for a suturing of an Internal Abdominal Ring” and “Needle for a Herniotomy”). The device represents needle 100mm with the conductor. External diameter of a needle is 3 mm, internal 2 mm. On the proximal end of a needle - a cannula suitable for connection of the reference syringe 5 of ml. The distal end has the ellipse form. In a gleam of a needle two threads are located: the first - the main, the distal end is bent in the opposite direction. The material which is not resolving. The second thread – auxiliary forms “lasso”. The average duration of an extracorporal herniotomy (taking into account an anesthesiology grants) - at unilateral hernia makes in our clinic 16,3±5 min., at bilateral 24±3 min. At use of the developed device duration of operation was reduced by 5±3 min. The method of a video assisted percutaneous internal ring suturing at congenital inguinal hernia at children with use of the developed device for a suturing of an internal abdominal ring proved as the fast, reliable and giving excellent cosmetic effect.