Abstract
BackgroundPediatric inguinal hernia (PIH) is a common disease in children. Laparoscopic hernia repair (LHR) has developed rapidly in recent years, but there are still different opinions compared with traditional open hernia repair (OHR). The purpose of this study was to compare the advantages and disadvantages of LHR and OHR in the treatment of pediatric inguinal hernia.MethodsWe performed a retrospective review of all children (< 14 years) who underwent repair of inguinal hernia in the pediatric surgery center of the Affiliated Hospital of Qingdao University from January 2015 to December 2015. We collected the medical records of all the children and analyzed the clinical characteristics, operation-related information and follow-up.ResultsIn the OHR group, 202 cases underwent unilateral inguinal hernia repair, and 43 cases underwent bilateral inguinal hernia repair. In the LHR group, 168 cases underwent unilateral inguinal hernia repair, and 136 cases underwent bilateral inguinal hernia repair. There was a significant difference in the operation time between the two groups, but there were no significant differences in postoperative hospitalization time and incidence of ipsilateral recurrent hernia between the two groups. The incidence rates of metachronous contralateral hernia (MCH) and surgical site infection in LHR group were significantly lower than those in the OHR group.ConclusionOur study shows that compared with OHR, LHR has the advantages of concealed incision, minimal invasiveness, reduced operation time, detection of contralateral patent processus vaginalis, and reduced incidence of MCH. In conclusion, LHR is safe and effective in the treatment of pediatric indirect inguinal hernia.
Highlights
Pediatric inguinal hernia (PIH) is a common disease in children
Surgical methods In the Laparoscopic hernia repair (LHR) group, laparoscopic percutaneous extraperitoneal closure was performed with a two-hooked hernia needle (Fig. 1), which was produced by Xiamen Surgaid Medical Equipment Co., Ltd. of China (Patent No ZL 2013 20013865.2)
From January 2015 to December 2015, all procedures were successfully performed for 245 patients who underwent open hernia repair (OHR) and for 304 patients who underwent LHR in our center
Summary
Pediatric inguinal hernia (PIH) is a common disease in children. Laparoscopic hernia repair (LHR) has developed rapidly in recent years, but there are still different opinions compared with traditional open hernia repair (OHR). The purpose of this study was to compare the advantages and disadvantages of LHR and OHR in the treatment of pediatric inguinal hernia. Pediatric inguinal hernia (PIH) is a common disease in children, with incidence rates ranging from 0.8 to 4.4% [1]. Many authors think that LHR may gradually replace OHR and become the main surgical method for PIH [5, 6]. We retrospectively analyzed the clinical and follow-up data of laparoscopic treatment of PIH and further compared the advantages and disadvantages of laparoscopic treatment of PIH to provide certain reference for clinical treatment
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