The study of totally transumbilical single-port laparoscopic herniorrhaphy and traditional surgery in treat-ment with pediatric indirect inguinal hernia

Abstract

Objective To compare the effect and safety of totally transumbilical single-port laparoscopic herniorrhaphy and traditional surgery in treatment with pediatric indirect inguinal hernia. Methods 100 children with indirect inguinal hernia were divided into control group(n＝50)and observation group(n＝50). The control group was given to traditional surgery. The observation group was given to totally transumbilical single-port laparoscopic herniorrhaphy. The operation related index, postoperative complications and hernia recurrence rate were compared between the two groups. Results The intraoperatve bleeding, incision length, operation time and hospital stays of the observation group respectively were(18.1±5.9)mL,(1.3±0.3)cm,(27.4±7.9)min and(4.5±1.2)d,those of the control group respectively were(38.7±8.1)mL,(2.2±0.4)cm,(46.7±9.2)min and(7.4±1.3)d,the difference was statistically significant(t＝3.439,3.811,2.872,2.878,P＝0.026,0.019,0.045,0.049).The postoperative complications rate of observation the group and the control group were respectively 8.0%(4／50)and 24.0%(12／50),the difference was statistically significant(χ2＝4.762,P＝0.029). Postoperative follow-up of 1 year,the hernia recurrence rate of the observation group and the control group respectively was 0(0／50)and 12% (6／50),the difference was statistically significant(χ2＝6.383,P＝0.012). Conclusion Using totally transumbili-cal single-port laparoscopic herniorrhaphy treat with pediatric indirect inguinal hernia is safe and effective. It is ben-eficial to prevent recurrence, and is worth clinical promotion. Key words: Hernia; Inguen; Laparoscope; Child; Single-port