Short-term efficacy of small incision intradermal suture for indirect inguinal hernia in children and its effect on C-reactive protein level

doi:10.3877/cma.j.issn.1674-392X.2019.06.015

Abstract

Abstract:

Objective

To observe the short-term effect of high ligation of small incision hernia sac in the treatment of indirect inguinal hernia in children and its effect on the level of C-reactive protein.

Methods

From May 2017 to May 2018, the clinical data of 80 children with inguinal hernia in Qinhuangdao Maternal and Child Health Care Hospital were randomly divided into experimental group and control group, with 40 patients in each group. The experimental group was treated with small incision intradermal suture, and the control group was treated with laparoscopic high ligation of hernia sac. The time of operation, the amount of bleeding, the time of wound healing and the presence of infection were observed and recorded in the two groups.

Results

The operation time of the experimental group was shorter than that of the control group, the bleeding volume and wound healing time of the experimental group were shorter than those of the control group, the incidence of complications and the number of relapses of the experimental group were less than those of the control group, and the level of C-reactive protein in the experimental group was lower than that of the control group at 8 hours, 24 hours and 48 hours after the operation, the differences were statistically significant (P<0.05).

Conclusion

Small incision intradermal suture has the advantages of short operation time, small incision, fast healing and less postoperative complications. It is safe and feasible and worth clinical application.

Key words: Indirect inguinal hernia, Child, High hernia sac ligation, C-reactive protein

Meng Qi, Xin Li, Hong Duan, Xiubo Dong. Short-term efficacy of small incision intradermal suture for indirect inguinal hernia in children and its effect on C-reactive protein level[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(06): 540-543.

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References 16

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组别	例数	手术时间(min, ±s)	术中出血量(ml, ±s)	切口愈合时间(d, ±s)	术后病发症[例(%)]	复发[例(%)]
试验组	40	22.7±10.6	4.6±0.4	7.6±1.5	3(7.5)	0
对照组	40	33.9±12.7	5.9±0.6	8.9±2.3	8(20.0)	1(2.5)
检验值	?	4.28	9.00	2.99	2.03	1.59
P值	?	<0.001	<0.001	<0.05	<0.05	0.280

组别	例数	手术时间(min, ±s)	术中出血量(ml, ±s)	切口愈合时间(d, ±s)	术后病发症[例(%)]	复发[例(%)]
试验组	40	22.7±10.6	4.6±0.4	7.6±1.5	3(7.5)	0
对照组	40	33.9±12.7	5.9±0.6	8.9±2.3	8(20.0)	1(2.5)
检验值	?	4.28	9.00	2.99	2.03	1.59
P值	?	<0.001	<0.001	<0.05	<0.05	0.280

组别	例数	术前1 d	术后8 h	术后24 h	术后48 h
试验组	40	14.51±7.68	29.33±8.49^*	18.98±9.62^#	16.38±9.20^△
对照组	40	14.20±8.25	41.28±10.13^*	32.46±12.93^#	28.73±11.85^△
t值	?	0.190	6.390	5.910	5.820
P值	?	0.846	<0.001	<0.001	<0.001

组别	例数	术前1 d	术后8 h	术后24 h	术后48 h
试验组	40	14.51±7.68	29.33±8.49^*	18.98±9.62^#	16.38±9.20^△
对照组	40	14.20±8.25	41.28±10.13^*	32.46±12.93^#	28.73±11.85^△
t值	?	0.190	6.390	5.910	5.820
P值	?	0.846	<0.001	<0.001	<0.001

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