Observation of the effect of laparoscopic high ligation of hernial sac for inguinal hernia in children
10.3760/cma.j.issn.1008-6706.2017.09.019
- VernacularTitle:腹腔镜疝囊高位结扎术治疗小儿腹股沟疝的疗效观察
- Author:
Junjiang LI
- Keywords:
Hernia,inguinal;
Laparoscopy;
Ligation;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(9):1362-1365
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of laparoscopic high ligation of hernial sac for inguinal hernia in children.Methods Retrospective comparative analysis was taken,50 children with inguinal hernia were selected as the research subjects.According to the different treatment methods,they were divided into two groups,25 cases in the control group received the traditional high ligation of the hernia sac,25 cases in the observation group received laparoscopic high ligation of hernial sac.The amount of bleeding,operation time and hospitalization time,postoperative pain lasting time,complications,disease complex condition were compared between the two groups.Results The amount of bleeding,operative time,hospitalization time,postoperative pain in the control group were (6.78 ± 2.15) mL,(34.58 ± 4.50) min,(7.46 ± 0.40) d,(2.25 ± 0.50) d,respectively,which in the observation group were (2.45 ± 1.20) mL,(19.33 ± 5.45) min,(3.35 ± 0.30) d,(0.92 ± 0.23) d,respectively,there were statistically significant differences between the two groups (t =8.79,10.79,41.10,12.08,allP ＜ 0.05).The incidence rate of complications,recurrence rate in the control group were 44.0％,36.0％,respectively,which were higher than 16.0％,4.0％ in the observation group,the differences between the two groups were statistically significant (x2 =4.67,8.00,all P ＜ 0.05).Conclusion Laparoscopic high ligation of hernial sac in the treatment of inguinal hernia in children not only can effectively reduce the amount of bleeding,shorten operation time,but also can reduce the postoperative pain of patients,reduce hospitalization time,reduce the incidence of complications and recurrence rate,and it is worthy of clinical application.
