Effect of modified pneumoperitoneum laparoscopic hernial sac high ligature on bleeding volume and complications in children with indirect inguinal hernia

Abstract

Objective To analyze the effect of modified pneumoperitoneum laparoscopic hernial sac high ligature on the bleeding volume and complications in children with indirect inguinal hernia. Methods From January, 2018 to June, 2019, 150 children with indirect inguinal hernia treated in our hospital were randomly divided into a control group (n=75) and an observation group (n=75). The control group was treated with traditional surgical methods, and the observation group with modified pneumoperitoneum laparoscopic hernial sac high ligature. The related surgical indicators and complications were compared between these two groups. Results The operation time, hospital stay, and bleeding volume were (27.85±1.01) min, (2.98±0.05) d, and (2.37±0.13) ml in the observation group, which were better than those in the control group (t=43.769, 42.635, and 42.645, all P<0.05). The incidence of complications, such as serum swelling, incision infection, and scrotal effusion, was lower in the observation group than in the control group (5.33% vs. 17.33%; χ2=5.374, P=0.020). Conclusion Modified pneumoperitoneum laparoscopic hernial sac high ligature in children with indirect inguinal hernia can significantly shorten the operation and hospitalization time, effectively reduce the amount of intraoperative blood loss, and greatly reduce the incidence of scrotal fluid, serum swelling, and incision infection. It is worth being popularized in clinic. Key words: Indirect inguinal hernia; Hernia capsule high ligature; Laparoscopy; Bleeding volume; Complications