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.
