Kết quả phẫu thuật nội soi một vết mổ qua rốn điều trị thoát vị bẹn ở trẻ em tại Bệnh viện Nhi Hà Nội

Abstract

The objectives of the study is to introduce our surgical technique and report the outcome of trans-umbilical laparo-endoscopic single site surgery (TULESS) for inguinal hernia in children at Hanoi Children Hospital. This prospective study was conducted between October 2024 and June 2025. For TULESS, we used 2 trocars 3 - 5mm at a 10mm single umbilical incision. Processus vaginalis was closed at the internal inguinal ring by percutaneous extraperitoneal needle with non-absorbable suture. 192 patients were enrolled, 82.9% males and 17.1% - females, with median age of 54 months old (ranged 1 month to 10 years old). 52.6% of inguinal hernias were on the right side, 40.6% - on the left side and 6.8% - bilateral. In 179 patients with unilateral hernia, 42.5% had persistent contralateral processus vaginalis. The average operative time was 22 minutes and 31 minutes for unilateral and bilateral PV closure. At 3 - 11 months follow up, recurrent hernia occurred in 0%, surgical wound infection in 2 patients. Postoperative cosmesis was excellent. TULESS for inguinal hernia in children is feasible, safe, with the ability of management of persistent contralateral PV and with excellent postoperative cosmesis. This technique and can be a good selection in the treatment of inguinal hernia in children.