Comparison between laparoscopic and open surgery in the treatment of pediatric inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2018.05.018

Abstract

Abstract:

Objective

To analysis the curative effect of different pediatric hernia surgery methods.

Methods

The clinical data of 76 children with inguinal hernia admitted to Midong Hospital of Xinjiang Uygur Autonomous Region People's Hospital from January 2014 to November 2015 were retrospectively analyzed. According to the operation method, the patients were divided into the laparoscopic group (observation group) and open group (control group) with 38 cases in each. The operation details of the two groups were observed and the therapeutic effects, adverse reactions and recurrence were compared.

Results

The operation time [(14.6+3.6) minutes vs (24.7+5.8) minutes], intraoperative blood loss [(1.9+0.9) ml vs (5.2+1.5) ml] and activity recovery time [(10.8+3.6) hours vs (21.9+5.2) hours] were lower than those in the control group. Compared with control group, the effective rate of treatment (97.6% vs 81.6%) in the observation group was higher, while the incidence of complications (2.6% vs 10.5%) and recurrence rate (0 vs 7.9%) were lower (P<0.05).

Conclusion

The laparoscopic surgery for pediatric hernia is safe and worthy of clinical promotion.

Key words: Hernia, inguinal, Child, Laparoscopes, Herniorrhaph

Quansheng Wang, Feifei Lv, Kelimu. Comparison between laparoscopic and open surgery in the treatment of pediatric inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(05): 387-388.

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References 10

[1]	唐健雄. 腹壁疝治疗外科学[M]. 上海: 上海科学技术出版社, 2014: 186.
[2]	Kiesewetter WB, Oh KS. Unilateral inguinal hernias in children: what about the opposite side?[J]. Arch Surg, 1980, 115(12):1443-1445.
[3]	孙一峰. 小儿腹股沟疝不同麻醉方法探讨及药物经济学研究[J]. 医学研究杂志, 2013, 42(9):143-146.
[4]	葛军，冯翠竹，泽多. 腹横纹小切口开放手术和腹腔镜手术治疗小儿腹股沟疝效果比较[J/CD]. 中华疝和腹壁外科杂志(电子版), 2017, 11(1):50-52.
[5]	何汉忠. 腹腔镜术和传统手术治疗小儿腹股沟疝的临床效果观察[J]. 临床医学工程, 2015, 22(12):1562-1563.
[6]	Parelkar SV, Oak S, Bachani MK, et al. Laparoscopic repair of pediatric inguinal hernia--is vascularity of the testis at risk? A study of 125 testes[J]. J Pediatr Surg, 2011, 46(9):1813-1816.
[7]	赵政. 传统手术与微创手术治疗小儿腹股沟疝的临床效果比较[J]. 现代诊断与治疗, 2016, 27(5):955-956.
[8]	Endo M, Watanabe T, Nakano M, et al. Laparoscopic completely extraperitoneal repair of inguinal hernia in children: a single-institute experience with 1, 257 repairs compared with cut-down herniorrhaphy[J]. Surg Endosc, 2009, 23(8):1706-1712.
[9]	刘永强，吕时来，奥妮, 等. 腹腔镜疝囊高位结扎术治疗儿童腹股沟斜疝237例[J/CD]. 中华疝和腹壁外科杂志(电子版), 2015, 9(1):65-68.
[10]	罗元胜，肖志华. 传统手术与微创手术治疗小儿腹股沟疝的临床价值分析[J]. 中国卫生标准管理, 2016, 7(8):81-83.

别组	例数	手术时间(min)	术中出血量(ml)	自主活动恢复时间(h)
观察组	38	14.6±3.6	1.9±0.9	10.8±3.6
对照组	38	24.7±5.8	5.2±1.5	21.9±5.2
t值	?	-5.785	-8.785	-7.785
P值	?	<0.001	<0.001	<0.001

别组	例数	手术时间(min)	术中出血量(ml)	自主活动恢复时间(h)
观察组	38	14.6±3.6	1.9±0.9	10.8±3.6
对照组	38	24.7±5.8	5.2±1.5	21.9±5.2
t值	?	-5.785	-8.785	-7.785
P值	?	<0.001	<0.001	<0.001

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