Clinical effect of laparoscopic high ligation of hernia sac combined with medial umbilical fold covering inner ring in the treatment of indirect inguinal hernia in children

Objective To explore the clinical effect of laparoscopic high ligation of hernia sac combined with medial umbilical fold covering inner ring in the treatment of indirect inguinal hernia in children. Methods The clinical data of 74 children with indirect inguinal hernia in Taihe County People's Hospital from March 2016 to May 2018 were retrospectively analyzed. According to the different operation of the children, the patients undergoing laparoscopic high ligation of hernia sac were selected as the control group (n=36) and the observation group (n=38) combined with the operation of the umbilical median fold covering inner ring on the basis of the control group, the 2 groups were regularly followed up for 3 months after operation. The operation related indexes, such as operation time, intraoperative bleeding volume, and postoperative hospitalization time of the 2 groups were compared, and the occurrence and recurrence of complications in the 2 groups during the follow-up period were recorded. Results There was no significant difference in operation time, postoperative hospitalization time and intraoperative bleeding between the observation group and the control group (P>0.05). The total incidence and recurrence rate of complications in the observation group were significantly lower than those in the control group during the follow-up period (P 0.05). Conclusion The clinical effect of laparoscopic high ligation of hernia sac combined with umbilical median fold covering inner ring in the treatment of indirect inguinal hernia in children is better than that of traditional operation. The postoperative recovery of the children is better, and the incidence of complications is lower. Key words: Laparoscopic high ligation of hernia sac; Median umbilical fold covering inner ring; Indirect inguinal hernia in children; Clinical effect