Abstract: Objective To explore the clinical efficacy of transumbilical double-port laparoscopic high ligation of hernia sac in the treatment of pediatric indirect inguinal hernia in children. Methods Clinical data of 112 children with indirect inguinal hernia who underwent transumbilical double-port laparoscopic during Sept. 2014 and May 2015 were retrospectively analyzed. Preoperative diagnosis decided that 81 cases had hernia on the right side, 23 cases on the left, and 8 cases on both sides. Results All operations were completed with the laparoscope, and no case turned to open operation. Of the 81 cases which were diagnosed to have hernia on the right side, 31 were found to have contralateral patent processus vaginalis. Of the 23 cases which were diagnosed to have hernia on the left side, 11 had contralateral patent processus vaginalis. The operation time was 22.7 mins, 30.4 mins, and 43.2 mins for hernia on the right side, left side and bilateral sides. All patients recovered well. No complications such as umbilical hernia and orchiatrophy occurred. The scars were almost invisible. Conclusion It is safe and feasible to treat pediatric indirect inguinal hernia by transumbilical double-port laparoscopic high ligation of hernia sac. It is minimal invasive and patients can recover rapidly. Therefore, it is worth wide clinical use.

Key words: Transumbilical double-port, Indirect inguinal hernia, Laparoscopic