Comparative study of single-port and two-port laparoscopic high ligation of hernia sac in the treatment of indirect inguinal hernia in children

doi:10.3877/cma.j.issn.1674-392X.2020.01.018

Abstract

Abstract:

Objective

To explore the efficacy of single-port and two-port laparoscopic hernia sac high ligation in the treatment of inguinal hernia in children.

Methods

The clinical data of 126 children with inguinal hernia treated from January 2013 to October 2016 in Shishi hospital of Fujian Province were retrospectively analyzed. According to the surgical procedure, the patients were divided into single-port group (n=38) and two-port group (n=88). The time of leaving bed, incision size, hospitalization time, hospitalization cost, scrotal edema and recurrence rate in 2 groups of children were compared.

Results

The time of leaving bed, incision size, hospitalization time and hospitalization cost of the study group were significantly lower than the control group (P<0.05). There was no significant difference in scrotal edema and recurrence rate between the two groups (P>0.05).

Conclusions

Compared with the two-port laparoscopic surgery, single-port laparoscopic hernia sac ligation is faster in postoperative recovery, shorter in hospitalization time, less in hospital cost, less complication and more suitable for aesthetic needs.

Key words: Single-port laparoscopy, Two-port laparoscopy, Hernia sac high ligation, Pediatric inguinal hernia

Dongyang Xu, Qingwei Yang, Shumiao Wang. Comparative study of single-port and two-port laparoscopic high ligation of hernia sac in the treatment of indirect inguinal hernia in children[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(01): 71-74.

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References 10

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组别	例数	手术时间(min)	下床时间(d)	切口大小(mm)	住院时间(d)	住院费用(元)
二孔组	88	39.8±8.6	1.4±0.3	7.4±0.3	2.3±0.6	4651±163
单孔组	38	38.7±8.1	1.1±0.2	3.2±0.5	1.7±0.4	4570±146
t值		2.323	7.066	19.121	4.914	2.864
P值		0.127	<0.001	<0.001	<0.001	0.005

组别	例数	手术时间(min)	下床时间(d)	切口大小(mm)	住院时间(d)	住院费用(元)
二孔组	88	39.8±8.6	1.4±0.3	7.4±0.3	2.3±0.6	4651±163
单孔组	38	38.7±8.1	1.1±0.2	3.2±0.5	1.7±0.4	4570±146
t值		2.323	7.066	19.121	4.914	2.864
P值		0.127	<0.001	<0.001	<0.001	0.005

组别	例数	阴囊水肿	复发率	总计
二孔组	88	2(3.4)	1(1.7)	3(5.1)
单孔组	38	0(0.0)	0(0.0)	0(0.0)
χ²值		1.725	2.323	4.188
P值		0.189	0.127	0.041

组别	例数	阴囊水肿	复发率	总计
二孔组	88	2(3.4)	1(1.7)	3(5.1)
单孔组	38	0(0.0)	0(0.0)	0(0.0)
χ²值		1.725	2.323	4.188
P值		0.189	0.127	0.041

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