Abstract:
Objective To explore the clinical value of laparoscopic emergency operation and selective operation in the treatment of pediatric inguinal hernia.
Methods 198 children with inguinal hernia treated in Nanning Sixth Peoples's Hospital from January 2014 to December 2017 were selected as the study subjects. According to the timing of operation, they were divided into the emergency operation group (n=102) and the selective operation group (n=96). The operation time (min), tissue injury, supplementary diagnosis, anesthesia risk and complications incidence were compared between the two groups.
Results The operation time of emergency operation group was significantly longer than that of selective operation group (P<0.05). The incidence of tissue injury in the emergency operation group was higher than that in the selective operation group (P<0.05). The supplementary diagnosis of laparoscopic exploration in emergency operation group was lower than that in selective operation group (P<0.05). The risk of anesthesia in the emergency operation group was higher than that in the selective operation group (P<0.05). The incidences of hydrocele, testicular atrophy and recurrence in emergency operation group were higher than those in the selective operation group (P<0.05).
Conclusions Under fully considering the child’s condition and whether there are independent risk factors of incarceration or indirect hernia, the choice of selective surgery has a better surgical effect.
Key words:
Laparoscopes,
Inguinal hernia in children,
Emergency operation,
Selective operation
Weizheng Huang, Hongda Deng, Huimin Lin, Duanhui Cheng. Clinical value of laparoscopic emergency operation and selective operation in the treatment of pediatric inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(01): 76-78.