Comparison of clinical efficacy of laparoscopy and traditional surgery for children with incarcerated indirect inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2019.05.014

Abstract

Abstract:

Objective

To investigate the comparison of clinical efficacy of laparoscopy and traditional surgery for children with incarcerated indirect inguinal hernia.

Methods

From January 2012 to March 2017, 80 children with incarcerated indirect inguinal hernia admitted to Huaian Hospital Affiliated to Xuzhou Medical University were divided into study group and control group according to different treatment methods, with 40 cases in each group. Patients in the control group were given traditional surgery and patients in the study group were given laparoscopy surgery, then the clinical outcome of two groups were compare.

Results

The length of incision, the time of hospitalization and first farting in the study group were better than those in the control group [(0.8±0.2) cm vs (3.8±1.0) cm, (7.6±1.4) days vs (14.6±2.1) days, (6.6±1.3) hours vs (12.3±2.0) hours, t=-18.605、-17.541、-15.113, all P<0.001]. There was no significant different in the operation time between study group and control group [(26.5±8.0) minutes vs (25.8±7.3) minutes, t=0.409, P=0.684]. The complication rate of the study group (2.5%) was significantly lower than that of the control group (2.5% vs 22.5%, χ²=7.314, P=0.007). The immune inflammatory response indexes IgG、IgA、IgM、CPR、IL-6 on the 3rd day in the study group compared with the control group, were significantly improved (t=-3.526、-8.485、-5.262、13.091、20.155, all P<0.001). There was no recurrence in the both groups after one-year follow-up (χ²=0.513, P=0.474).

Conclusion

The laparoscopy surgery in the treatment of children with incarcerated indirect inguinal hernia is significant efficiency and it can reduce the short-term immune inflammatory response after surgery. However, in view of its prognosis, it is necessary to further increase the number of research cases for further study.

Key words: Incarcerated indirect inguinal hernia, Laparoscopy surgery, Immune inflammatory response, Prognosis

Yan Wang, Mingkao Wang, Xiaoxiong Sun, Xiaoyu Zhang, Haijian Zhao. Comparison of clinical efficacy of laparoscopy and traditional surgery for children with incarcerated indirect inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(05): 440-443.

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References 13

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组别	例数	睾丸萎缩 [例(%)]	继发性鞘膜积液[例(%)]	阴囊水肿 [例(%)]	并发症发生率 (%)
试验组	40	0	0	1(2.5)	2.5^a
对照组	40	3(7.5)	3(7.5)	3(7.5)	22.5

组别	例数	睾丸萎缩 [例(%)]	继发性鞘膜积液[例(%)]	阴囊水肿 [例(%)]	并发症发生率 (%)
试验组	40	0	0	1(2.5)	2.5^a
对照组	40	3(7.5)	3(7.5)	3(7.5)	22.5

组别	?	IgG(g/L)	IgA(g/L)	IgM(g/L)	CPR(mg/L)	IL-6(ng/L)
试验组	治疗前	13.2±2.1	1.8±0.3	1.2±0.2	7.5±2.3	9.7±1.5
?	治疗后3 d	8.6±1.8	0.9±0.2	0.6±0.2	24.8±3.6	52.2±7.0
对照组	治疗前	13.0±2.3	1.8±0.2	1.3±0.1	7.7±2.2	10.0±1.3
?	治疗后3 d	11.1±2.0	1.2±0.1	0.9±0.3	15.1±3.0	24.6±5.1
?	t1值	8.232	15.787	13.416	-25.612	-37.547
?	^aP1值	<0.001	<0.001	<0.001	<0.001	<0.001
?	t2值	3.943	16.971	8.000	-12.580	-17.545
?	^bP2值	<0.001	<0.001	<0.001	<0.001	<0.001
?	t3值	-3.526	-8.485	-5.262	13.091	20.155
?	^cP3值	<0.001	<0.001	<0.001	<0.001	<0.001

组别	?	IgG(g/L)	IgA(g/L)	IgM(g/L)	CPR(mg/L)	IL-6(ng/L)
试验组	治疗前	13.2±2.1	1.8±0.3	1.2±0.2	7.5±2.3	9.7±1.5
?	治疗后3 d	8.6±1.8	0.9±0.2	0.6±0.2	24.8±3.6	52.2±7.0
对照组	治疗前	13.0±2.3	1.8±0.2	1.3±0.1	7.7±2.2	10.0±1.3
?	治疗后3 d	11.1±2.0	1.2±0.1	0.9±0.3	15.1±3.0	24.6±5.1
?	t1值	8.232	15.787	13.416	-25.612	-37.547
?	^aP1值	<0.001	<0.001	<0.001	<0.001	<0.001
?	t2值	3.943	16.971	8.000	-12.580	-17.545
?	^bP2值	<0.001	<0.001	<0.001	<0.001	<0.001
?	t3值	-3.526	-8.485	-5.262	13.091	20.155
?	^cP3值	<0.001	<0.001	<0.001	<0.001	<0.001

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