Abstract: Objective To explore the advantages of the high ligation of hernial sac in the treatment of the juvenile patients with inguinal hernia. Methods Data of 330 juvenile patients(≤6 years old) with inguinal hernia treated with the laparoscopic high ligation of hernial sac in our department during Jan 2009 to May 2010, including duration of operation, postoperative complication, cost of hospitalization, postoperative length of stay and the follow-up. Results 60 cases contralateral latent hernia was detected during the laparoscopic operation, the duration of operation for the single side was 10 minutes, the mean time of the postoperative food intake was 4 hours, and the postoperative length of stay was 4~24 hours. All the patients had slight postoperative pain, no analgesics were used. Fifty cases had scrotal emphysema, which subsided within 2~3 hours, and there was no relapse, no operative injury, no infectin and postoperative pain occurred. The mean length of stay was 3 days, the mean cost was 3 000 yuan. Conclusion The laparoscopic high ligation of hernial sac is a safe and reliable method, the latent hernia could be detected in the operation, and it is suitable for the juvenile patients(≤6 years old).

Key words: hernia, inguinal, laparoscope, juvenile