Analysis of the clinical efficacy of traditional surgery and minimally invasive surgery for children with indirect inguinal hernia

Abstract

Objective To explore the difference of curative effect between traditional surgical treatment and laparoscopic high ligation of hernia sac combined with umbilical median hernia repair in children with indirect inguinal hernia. Methods A total of 100 children with indirect inguinal hernia in First Affiliated Hospital of the People's Liberation Army Air Force Military Medical University were enrolled in this study. The clinical data were retrospectively analyzed. According to the different surgical treatment methods, the patients were divided into two groups (50 cases each) in the experiment group and the control group, including the study group (using laparoscopic high ligation of the hernia sac combined with umbilical median palpebral repair) and the control group (using laparoscopic high ligation of the hernia sac). To compare the clinical efficacy of the two groups of patients. Results There were no statistically differences in the operation time, length of stay, and time of first postoperative activity in the two groups (P>0.05). The postoperative recurrence rate (2.0%) in the experiment group was significantly lower than in the control group (16.0%) (P 0.05). The factors related to postoperative recurrence included age, surgery and inner ring diameter (both P<0.05); Logistic regression analysis showed that age and internal ring diameter were independent risk factors for postoperative recurrence (P<0.05). Conclusion In the case of ensuring clinical safety and efficacy, laparoscopic high ligation of the hernia sac combined with umbilical medial palpebral repair for the treatment of children with indirect inguinal hernia had lower recurrence rate. Age and internal ring diameter were independent risk factors for postoperative recurrence. Therefore, in the future clinical work, such patients should be intervened early. Key words: Indirect inguinal hernia; Laparoscope; High ligation of hernia sac; Children; Recurrence