目的探讨腹腔镜治疗小儿复发性腹股沟斜疝的技术改进及降低再次复发率。方法回顾性分析腹腔镜改进双重高位结扎术治疗小儿复发性腹股沟斜疝42例的临床资料。结果42例手术均获成功,手术时间10~22min,平均15min,术后住院1~2d,无并发症,随访3~34个月,无1例复发。结论操作者对双重高位结扎改进术治疗小儿复发性腹股沟斜疝,可以降低再发率,具有安全可行、创伤小、康复快、并发症少、再发率低的优点。 Objective To investigate the technique of laparoscopic treatment of recurrent inguinal hernia in children and to reduce the recurrence rate. Methods The clinical data of 42 cases with recurrent inguinal hernia treated by laparoscopic modified double ligation were retrospectively analyzed. Results All 42 cases were successful. The operation time ranged from 10 to 22 minutes, with an average of 15 minutes. The patients were hospitalized for 1 to 2 days after operation. No complications were observed. All the patients were followed up for 3 to 34 months without recurrence. Conclusion The operator of double high ligation improved treatment of infantile recurrent inguinal hernia, can reduce the recurrence rate, safe and feasible, less trauma, faster recovery, fewer complications, low recurrence rate advantage.