Clinical observation on the treatment of pediatric oblique inguinal hernia by high ligation of hernia sac with single-pore transumbilical laparoscopy
XIA Zhi-sheng1 CHE Yu-jun2 WANG Ji-wen1
1.Department of General Surgery,Shiyan People′s Hospital of Baoan District in Shenzhen City,Guangdong Province,Shenzhen 518108,China;
2.Department of Anesthesiology,Shiyan People′s Hospital of Baoan District in Shenzhen City,Guangdong Province,Shenzhen 518108,China
Abstract：ObjectiveTo investigate the clinical effect of using the high ligation of hernia sac with single-pore transumbilical laparoscopy to treat pediatric oblique inguinal hernia.Methods80 cases of children with oblique inguinal hernia treated by our hospital from April 2014 to April 2016 were selected as the study subjects,they were divided into the traditional open group and the laparoscopy group according to the simple randomization method,there were 40 cases in each group.The traditional open group was given the open hernia sac high ligation,while the laparoscopic group was treated with high ligation of hernia sac with single-pore transumbilical laparoscopy.The surgical indexes,postoperative complications and hernia recurrence were compared and analyzed between the two groups.ResultsThe incision length,the operation time and the length of stay in the laparoscopic group were shorter than traditional open group,the amount of blood was less than the traditional open group,differences were statistically significant(P＜0.05).The total incidence of postoperative complications of laparoscopy(7.5%)was well below the traditional open group(22.5%),and the difference was statistically significant(P＜0.05).1 year after operation,the rate of hernia recurrence in laparoscopic group was lower than that in traditional open group,and the difference was statistically significant(P＜0.05).ConclusionUsing singlepore transumbilical laparoscopy to treat the pediatric inguinal hernia has the characteristics of small incision,small trauma,less hemorrhage in the operation,rapid recovery and short hospital stay etc.This method is safe and reliable,and with lower incidence of postoperative complications and hernial recurrence,so it can be widely used in the clinic of basiclevel hospital.
夏志生;车玉君;王继文. 经脐单孔腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床观察[J]. 中国当代医药, 2017, 24(23): 91-94.
XIA Zhi-sheng;CHE Yu-jun;WANG Ji-wen. Clinical observation on the treatment of pediatric oblique inguinal hernia by high ligation of hernia sac with single-pore transumbilical laparoscopy. 中国当代医药, 2017, 24(23): 91-94.
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