To investigate the effects of laparoscopic single-hole complete extraperitoneal ligation method and traditional open surgery on indirect inguinal hernia in pediatric patients.

A total of 186 male children with indirect inguinal hernia admitted to Anqing Hospital, Anhui Medical University from February 2018 to October 2021 were collected. Patients were divided into 93 cases in Group A and 93 cases in Group B according to surgical methods. Group A was treated by traditional open surgery and Group B was treated by laparoscopic single-hole complete extraperitoneal ligation. The perioperative conditions, postoperative pain, complications, satisfaction of the children's families and postoperative recurrence rate were observed in the two groups.

The operation time, incision size, intraoperative bleeding and hospital stay were significantly lower in group B than in group A (P<0.05). The pain scores were significantly lower in group B than in group A at 12, 24 and 48 h postoperatively (P<0.05). The incidence of postoperative complications was lower in group B than in group A, but the difference was not significant (P>0.05). The overall satisfaction rate of the child's family was significantly higher in group B than in group A (P<0.05). The recurrence rate in group B was lower than that in group A, but the difference was not significant (P>0.05).

The laparoscopic single-port complete extraperitoneal ligation method for the treatment of pediatric indirect inguinal hernia can reduce intraoperative bleeding, shorten the operation time, accelerate the recovery time, and can reduce postoperative pain in children, with low complication and low recurrence rate.