Abstract：Objective To explore the clinical effect of laparoscopic high ligation of hernial sac in the treatment of indirect inguinal hernia in children. Methods A total of 80 cases with indirect inguinal hernia in our hospital from October 2018 to September 2019 were selected as the research objects, and they were divided into the observation group (40 cases) and the control group (40 cases) according to the random number table method. The control group was received routine open high ligation of hernial sac, the observation group was received laparoscopic high ligation of hernial sac.The operation and anesthesia related indexes (operation time, intraoperative blood loss and anesthesia recovery time),postoperative recovery (recovery time of bowel sounds, anal exhaust time and anal defecation time), perioperative complications (anesthesia recovery delay, postoperative bleeding, postoperative infection and postoperative severe pain) were compared between the two groups, the clinical effects in the two groups was counted. Results The operation time in the observation group was shorter than that in control group, the intraoperative blood loss in the observation group was less than that in the control group, the anesthesia recovery time in the observation group was shorter than that in the control group, the differences were statistically significant (P＜0.05). The recovery time of bowel sounds, the exhaust time and the defecation time in the observation group were shorter than those in the control group, the differences were statistically significant (P＜0.05). The incidence of anesthesia recovery delay, postoperative bleeding, postoperative infection and postoperative severe pain in the observation group were lower than those in the control group, the differences were statistically significant (P ＜0.05). The hernial sac disappeared in both groups after operation, and they recovered smoothly and were discharged from hospital. Conclusion Laparoscopic high ligation of hernial sac for indirect inguinal hernia in children have the advantages of short operation time, small trauma and quick recovery, which is worthy of clinical promotion.
林家洪; 尹姜弢; 高小阳; 黎远康; 林志豪. 腹腔镜下疝囊高位结扎术治疗小儿腹股沟斜疝的临床效果[J]. 中国当代医药, 2020, 27(16): 130-133.
LIN Jia-hong; YIN Jiang-tao; GAO Xiao-yang; LI Yuan-kang; LIN Zhi-hao. Clinical effect of laparoscopic high ligation of hernial sac in the treatment of indirect inguinal hernia in children. 中国当代医药, 2020, 27(16): 130-133.
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