The Importance of Endovideosurgery Technologies in the Treatment and Diagnosis of Large Hernias in Children

摘要

This article presents treatment and diagnostic analyzes of 12 pediatric patients with large hernias torsion, which is very rare in children’s abdominal cavity. Of these, 8 had primary hernias torsion and 4 had secondary hernias torsion. Twelve patients underwent endovideolaparoscopic hernias resection, and one of them underwent additional appendectomy. Videolaparoscopic resection was performed in 1 patient with large hernias cyst. A patient with abdominal trauma underwent an upper middle laparotomy and underwent conversion. There were no complications at the time of surgery or in the postoperative period. Histological examination revealed signs of gangrenous omentitis in a large herd. Surgery using endovideolaparoscopic technologies allows to accurately diagnose the disease, to achieve simultaneous resection of hernias, to determine the etiological factors of secondary hernias torsion.