2019•Chin J Hernia Abdominal Wall Surg(Electronic Edition)Requires access
Efficacy of laparoscopic high ligation of hernia sac and traditional high ligation of hernia sac in the treatment of pediatric hernia
Congjun Li, Yong‐Xiang Wu, Sanshi Li, Lei Xie, Congtao He, Tengfei Yin, Jingyou Dai
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Abstract
Objective
To investigate the efficacy of laparoscopic high ligation of hernia sac and traditional high ligation of hernia sac in the treatment of pediatric hernia.
Methods
From June 2016 to June 2018, 106 children with pediatric hernia were randomly divided into the laparoscopic group (53 cases) and the traditional group (53 cases). The traditional operation group was performed with high ligation of hernia sac, while the laparoscopic group with laparoscopic high ligation of hernia sac. The operation, hospitalization, complications, occult hernia, contralateral hernia protrusion and recurrence were compared between the two groups.
Results
The operation time, bleeding volume, incision length, the time of getting out of bed and the time of postoperative pain in the laparoscopic group were significantly lower than those in the traditional group (t=8.574、19.072、58.681、14.511、4.981, all P<0.001). The cost of hospitalization in the laparoscopic group was higher than that of the traditional operation group [(4 152.85± 541.59) yuan vs (3 860.71±459.72) yuan, t=2.994, P=0.003]. There was no significant difference betweenthe laparoscopic group and the traditional surgery group in length of hospitalization [(2.07±1.12) d vs (2.14±1.49) d, t=0.273, P=0.785]. The incidence of complications in laparoscopic group was 7.5%, which was significantly lower than that in traditional operation group (30.2%, χ2=8.874, P=0.003). The incidence of contralateral hernia protrusion in laparoscopic group was lower than that in traditional operation group (0 vs 9.4%, P=0.003), and the incidence of occult herniawere significantly higher than that in traditional operation group (17.0% vs 0, χ2=5.248, P=0.022); There was no significant difference in recurrence rate between the two groups (χ2=2.038, P=0.153).
Conclusion
Laparoscopic high ligation of hernia sac is effective in the treatment of hernia in children. It can effectively relieve the postoperative pain, reduce the occurrence of complications, help the children recover quickly and reduce the medical cost. It is worth popularizing in clinic.
Key words:
Hernia, inguinal; Herniorrhaphy; Laparoscopes; Child