Comparison of Two Kinds of Minimally Invasive Operations for the Treatment of Children with Indirect Inguinal Hernia

Objective To compare the clinical curative effect of two kinds of minimally invasive operations in the treatment of indirect inguinal hernia in children admitted in our hospital. Methods A retrospective analysis was conducted on the clinical data of90 children with indirect inguinal hernia admitted in our hospital from January 2013 to March 2014. The children were randomly divided into two groups, and treated by two kinds of minimally invasive operations. 40 children(open surgery group) were treated by high ligation of hernial sac via small lower abdominal transverse incision, and 50 children(laparoscopy group) were treated by laparoscopic high ligation of hernial sac. And the duration of operation, length of stay, cost of hospitalization, complications, recur-rence rate of the two groups were compared. Results In the open surgery group, the duration of operation was(40.1 ±4.2) min,length of stay was(4.2±0.7) days, cost of hospitalization was(3280.64±40.21) yuan, no patients had complications and recurrence.In the laparoscopy group, the duration of operation was(40.0±3.1) min, length of stay was(4.1±0.2) days, cost of hospitalization was(5431.25±46.58) yuan, no patients had complications and recurrence. The cost of hospitalization of the open surgery group was much less than that of the laparoscopy group, the difference between the two groups was statistically significant, P0.05, while the differences in duration of operation, length of stay and complications between the groups were not statistically significant, P0.05.Conclusion High ligation of hernial sac via small lower abdominal transverse incision is worthy to be recommended in the basic hospital instead of laparoscopic operation.