To observe the application of needle grasper-assisted single-port laparoscopy in the treatment of pediatric incarcerated indirect inguinal hernia.

Clinical data of 117 children with incarcerated indirect inguinal hernia who received treatment at Ganzhou Maternal and Child Health Hospital from January 2023 to September 2025 were collected and analyzed. According to the surgical method, the children were divided into a conventional group with 55 cases and a study group with 62 cases. Children in the conventional group underwent transumbilical single-port laparoscopic surgery, while children in the study group underwent needle grasper-assisted transumbilical single-port laparoscopic surgery. Surgical-related indicators, postoperative pain and stress responses, inflammatory levels, surgical complications, and prognosis were observed and compared between the two groups.

The length of hospital stay, number of crying episodes, number of nocturnal awakenings, Face, Legs, Activity, Cry, and Consolability (FLACC) scale scores on postoperative day 2 and day 3, and serum levels of serum amyloid A (SAA), C-reactive protein (CRP), and interleukin-6 (IL-6) in the study group were (3.24±0.14) d, (6.12±1.79) times, (3.02±0.59) times, (3.75±0.63) points, (2.76±0.38) points, (72.97±17.26) mg/L, (18.62±5.53) mg/L, and (12.79±3.77) pg/ml, respectively, which were all lower than those in the conventional group: (3.37±0.30) d, (6.74±1.41) times, (3.27±0.44) times, (3.98±0.52) points, (2.91±0.43) points, (82.85±19.04) mg/L, (22.25±7.74) mg/L, and (15.12±5.92) pg/ml, respectively, with statistically significant differences (all P<0.05). The incidence of scrotal hematoma in the study group was significantly lower than that in the conventional group (P<0.05). At 3 months after surgery, the incidence of abnormal imaging findings in the study group was lower than that in the conventional group (P<0.05).

Needle grasper-assisted single-port laparoscopy for the treatment of pediatric incarcerated indirect inguinal hernia can improve postoperative recovery-related indicators, alleviate postoperative pain and inflammatory responses, and reduce the incidence of complications, showing certain advantages in postoperative recovery and short-term prognosis..