To explore and analyze the clinical efficacy of laparoscopic and open hernia repair in the treatment of congenital diaphragmatic hernia.

A total of 90 children with congenital diaphragmatic hernia who were treated in our hospital from April 2018 to April 2020 were selected and divided into 2 groups by random number table method, with 45 children in each group. The control group was treated with open hernia repair, and the laparoscopic group was treated with laparoscopic surgery. The operation time, intraoperative blood loss, time from postoperative to the first feeding, and postoperative complications were compared between the two groups.

The operation time and the time from operation to the first meal in the laparoscopic group were lower than those in the control group (P<0.05), and the intraoperative blood loss in the laparoscopic group was significantly less than that in the control group (P<0.05). 1 case of pulmonary infection, 1 case of pulmonary infection in the control group, and 3 cases of incision infection. The total incidence of complications in the laparoscopy group was 2.22%, which was significantly lower than that in the control group, which was 8.89%.

For children with congenital diaphragmatic hernia, both open hernia repair and laparoscopic surgery have significant clinical effects. Laparoscopic surgery has a small incision, less intraoperative blood loss, and shortens the first postoperative eating time. It has less impact on children's body and is conducive to the recovery of children's disease, and is worthy of clinical promotion.