Clinical comparative study of single-hole laparoscopic repair with double-hooked needle and single-hooked needle in the treatment of pediatric inguinal hernia

Abstract

Objective To explore the application value of single-hole laparoscope-assisted double-hooked needle repair in the treatment of indirect inguinal hernia in children and its feasibility and safety. Methods From March 2016 to March 2017, a retrospective analysis was conducted on children who underwent hernia surgery in the YijiShan hospital. A total of 448 cases of pediatric inguinal hernia received single-hole laparoscopic-assisted percutaneous puncture and internal ring ligation of the peritoneum. According to the different methods, patients were divided into two groups: 221 cases were treated with double-hooked needle, and 227 cases were treated with single-hooked needle. The two groups of children with indirect inguinal hernia were operated by the same operator. The clinical effects, intraoperative and postoperative complications of the two groups were compared. Results The average time of unilateral hernia surgery in double-hook group and single-hook group was (12.42±1.60) minutes, (18.32±2.00) minutes, respectively; the bilateral operation time were (18.17±2.50) minutes, (24.39±4.67) minutes, respectively. The postoperative hospital stay was (2.55±0.69) days and (2.63±0.74) days, respectively. No complications and no recurrence in the double-hook group in the follow-up time. In the single-hook group, there was 1 case of postoperative puncture site knot reaction at 6 months after operation, and 1 case of recurrence at 1 year. Conclusions Double-hook used in the treatment of indirect inguinal hernia of children is not only simple, can inject water to separate the peritoneal tissue, will not ligate the abdominal wall tissue or left the local peritoneum gap, and also can guarantee the completeness and safety of the internal ring ligation in the preperitoneal space. Key words: Laparoscopes; Hernia; Pediatric; Single hook needle; Double hook needle