Comparative analysis of scrotal incision in the treatment of pediatric indirect inguinal hernia with traditional surgery

[Objective]To discuss the clinical effect of small incision scrotum and traditional inguinal incision for the treatment of indirect inguinal hernia in children.[Methods]A total of 256 cases of the male inguinal indirect hernia in children were divided into the treatment group of 136 cases receiving scrotum and small incision of high ligation of hernial sac and the control group of 120 cases receiving high ligation of hernial sac of inguinal incision.Comparative analysis was conducted on anesthesia method,operation mode and clinical efficacy of 2 methods.[Results] Operation was performed on 256 cases under monitoring anesthesia(monitored anesthesia care,MAC),all were successful,the operation time of treatment group was 5-10 minutes,6.5minutes in average,incision length 1-1.5 cm,without obvious postoperative incision pain and operation complications,hospitalization time of 1-2 days,129 cases(94.8%) were followed up,without recurrence after 6 months to 3 years follow-up.The operation time of control group was 20-40 minutes,31.2 minutes in average,incision length 3-5 cm,postoperative incision pain in 1-3 days,1 case with scrotal hematoma,hospitalization time of 4-7 days,109 patients(90.8%)received follow-up,1 case recurrence after 6 months to 3 years follow-up.[Conclusion]Scrotal incision in the treatment of indirect inguinal hernia in children,compared with the traditional hernia operation incision,is small and hidden,does not destroy the anatomy of inguinal region,with characteristics of the safety of anesthesia,short operation time,rapid recovery,low cost.It is a good method for the treatment of indirect inguinal hernia in children,and worthy of clinical application,particularly suitable for primary hospitals.