Comparison of clinical efficacy of different surgical methods in the treatment of inguinal hernia in children

doi:10.3877/cma.j.issn.1674-392X.2019.06.013

Abstract

Abstract:

Objective

To compare the clinical efficacy of laparoscopic surgery, small transverse incision under the transverse stripes surgery and traditional open surgery for the treatment of children with inguinal hernia.

Methods

The clinical data of 396 children with inguinal hernia treated by the People's Hospital of Gongan County from January 2012 to January 2019 were retrospectively analyzed. Among them, 124 patients underwent laparoscopic surgery (group A), 134 patients underwent small transverse incision under the transverse stripes surgery (group B) and 138 cases underwent traditional open surgery (group C). The surgical outcomes and complications of the three groups were compared.

Results

The operation time, intraoperative blood loss, length of incision, length of hospital stay, the time of activity, exhaust time and pain scores in the three groups were statistically significant (P<0.05). After multiple comparison, the differences were significant among the three groups. The complication rate of group A and group B (1.65%, 3.73%) was significantly lower than that of group C (10.86%) (P<0.05). There was no significant difference in the incidence of complications between group A and group B (P>0.05).

Conclusion

Compared with traditional open surgery and small transverse incision under the transverse stripes surgery, laparoscopic surgery inguinal hernia has the advantages of short operation time, small trauma, quick recovery and high safety. It is worthy of further clinical application.

Key words: Laparoscopy, Small transverse incision under the transverse stripes, Traditional surgery

Xiaohua Zhang, Peng Guo, Xin Xiong, Gang Su. Comparison of clinical efficacy of different surgical methods in the treatment of inguinal hernia in children[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(06): 533-536.

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https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2019/V13/I06/533

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References 20

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组别	例数	手术时间(min)	出血量(ml)	手术切口长度(cm)	住院时间(d)
A组	121	15.31±3.37^ab	1.51±0.64^ab	0.63±0.07^ab	2.23±0.41^ab
B组	134	25.44±4.21^a	4.42±0.73^a	1.54±0.39^a	3.48±1.01^a
C组	138	45.83±7.82	8.97±0.81	4.92±1.33	7.72±1.47
F值	?	1021.469	3426.029	1003.086	945.457
P值	?	<0.001	<0.001	<0.001	<0.001

组别	例数	手术时间(min)	出血量(ml)	手术切口长度(cm)	住院时间(d)
A组	121	15.31±3.37^ab	1.51±0.64^ab	0.63±0.07^ab	2.23±0.41^ab
B组	134	25.44±4.21^a	4.42±0.73^a	1.54±0.39^a	3.48±1.01^a
C组	138	45.83±7.82	8.97±0.81	4.92±1.33	7.72±1.47
F值	?	1021.469	3426.029	1003.086	945.457
P值	?	<0.001	<0.001	<0.001	<0.001

组别	例数	自主活动时间(h)	术后排气时间(h)	疼痛评分(分)
A组	121	10.33±2.51^ab	21.04±3.81^ab	2.58±0.78^ab
B组	134	10.97±2.83^a	26.89±4.42^a	3.37±0.94^a
C组	138	29.55±2.98	39.56±5.73	5.28±1.31
F值	?	2051.296	519.327	232.345
P值	?	<0.001	<0.001	<0.001

组别	例数	自主活动时间(h)	术后排气时间(h)	疼痛评分(分)
A组	121	10.33±2.51^ab	21.04±3.81^ab	2.58±0.78^ab
B组	134	10.97±2.83^a	26.89±4.42^a	3.37±0.94^a
C组	138	29.55±2.98	39.56±5.73	5.28±1.31
F值	?	2051.296	519.327	232.345
P值	?	<0.001	<0.001	<0.001

组别	例数	阴囊肿胀(例)	阴囊血肿(例)	腹胀(例)	伤口感染(例)	医源性隐睾(例)	复发(例)	总发生率(%)
A组	121	2	0	0	0	0	0	1.65^ab
B组	134	2	1	0	0	1	1	3.73^a
C组	138	5	3	2	2	1	2	10.86
χ²值	?	?	?	?	?	?	?	11.704
P值	?	?	?	?	?	?	?	0.003

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