[Source: Dezhou Maternal and Child Health Hospital_Hospital News]
Recently, our hospital successfully performed “indirect inguinal hernia sac for a 44-day-old baby girl” “High ligation + incarcerated hernia manual reduction”, which set a new record for the youngest age of surgical laparoscopic treatment of indirect inguinal hernia in this hospital.
The 44-day-old baby girl Mengmeng (pseudonym) has been crying and spitting up for a long time. Careful parents found that Mengmeng had a bulge in her right groin. When I came to the surgery of our hospital for treatment, the doctor Zhao Jian found a bulge mass in the right groin, and judged it to be an indirect inguinal hernia. Prompted by B-ultrasound: incarcerated hernia on the right side (the contents of the hernia are ovaries). Dr. Zhao Jian first gave manual reduction. Due to the increased size of the herniated ovary, manual reduction was difficult. In order to avoid damage to the ovary, the manual reduction was terminated. Dr. Zhao Jian informed the parents that Mengmeng’s condition requires surgery, otherwise there is a risk of ovarian necrosis. After many times of communication with the parents, it was decided to adopt laparoscopic surgery for the child, which is less traumatic and can determine whether the ovaries are normal or not in time.
Due to the child’s young age and light weight, surgery The space is small and the risk of anesthesia is extremely high. Surgery, pediatrics, anesthesiology, special inspection, laboratory and other departments jointly conducted emergency consultations, conducted detailed preoperative discussions, and formulated detailed surgical plans. The whole operation was closely monitored, and under general anesthesia, the child underwent laparoscopic “high ligation of indirect inguinal hernia sac + manual reduction of incarcerated hernia”. During the operation, the incarcerated object was found to be the right ovary, and there was no ischemic necrosis. . Postoperatively, symptomatic treatment such as oxygen inhalation, ECG monitoring, and fluid replacement was given. The child recovered well and was discharged from the hospital on the third day after the operation.
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