LAPAROSCOPIC ACCESS IN THE TREATMENT OF CHILDREN WITH INCARCERATED INGUINAL AND INGUINAL-SCROTAL HERNIA

Purpose of the study. The aim of this work is to study the possibilities and advantages of laparoscopic access for incarcerated inguinal and inguinal-scrotal hernia in children.Material and methods. From 2002 to 2017, we used laparoscopic access for herniorrhaphy in 68 patients aged 1 month to 3years old with incarcerated inguinal and inguinal-scrotal hernias. The results were compared with the treatment results of 57 patients who were operated by an open access. During the study, we identified the hemodynamic features of the blood supply to the testis in boys and the benefits of laparoscopic access.Conclusion. Laparoscopic access allows more accurate visualization of pathological changes in the incarcerated organ and suturing of the internal inguinal ring with minimal trauma to the testicular vessels and deferent duct. This allows to reduce both surgical trauma and frequency of diagnostic errors in incarcerated inguinal and inguinal-scrotal hernia in children.

лапароскопия, герниорафия, ущемленная паховая грыжа, ущемленная пахово-мошоночная грыжа, детская хирургия, дети, laparoscopy, herniorraphy, incarcerated inguinal hernia, incarcerated inguinal-scrotal hernia, pediatric surgery, children