Abstract:
Objective To study the application effect of laparoscopic single channel extraperitoneal high ligation in the treatment of inguinal hernia in children.
Methods From July 2018 to January 2020, 100 children with inguinal hernia who need surgical treatment in Nanjing Traditional Chinese and Western Medicine hospital were selected as the subjects. They were divided into study group and control group by random digital table method, with 50 children in each group. The treatment of the control group was traditional open inguinal hernia surgery, and the treatment of the study group was laparoscopic single channel extraperitoneal ligation. The operative time, incision length, blood loss, exhaust time and hospitalization stay of the two groups were compared. The postoperative pain of the two groups was investigated and the postoperative complications of subcutaneous emphysema, scrotal swelling, postoperative bleeding and incision infection were compared.
Results The operation time, exhaust time and hospitalization stay of the children in the study group were shorter than those in the control group. The incision length was shorter than that in the control group, and the amount of bleeding was lower than that in the control group, and the differences were statistically significant (P<0.05). Children in the study group had lower postoperative pain grade than that in the control group, and the difference was statistically significant (P<0.05). Among the children in the study group, the incidence of surgical complications was 2.00%, which was lower than that in the control group (16%), and the difference was statistically significant (P<0.05).
Conclusion In the treatment of inguinal hernia in children, the laparoscopic single channel extraperitoneal high ligation has small wound, light pain after operation, and less related complications, and it can promote the early recovery of children.
Key words:
Hernia, inguinal,
Children,
Laparoscopes,
Single channel,
Extraperitoneal hyperbaric ligation,
Pain
Lei Jin, Wensheng Liu. Application of laparoscopic single channel extraperitoneal ligation in treatment of inguinal hernia in children[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(02): 138-141.