Original Article
Clinical comparison of laparoscopic, small incisional and traditional surgery in treatment of child inguinal hernia
Jinlin Zou, Peijian Peng, Shengming Mao, Qinghua Zhang
Published 2018-02-01
Cite as Chin Arch Gen Surg(Electronic Edition), 2018, 12(1): 47-50. DOI: 10.3877/cma.j.issn.1674-0793.2018.01.012
Abstract
ObjectiveTo compare the clinical efficacy and complications of traditional surgery, small incisional and laparoscopy in the treatment of inguinal hernia in children.
MethodsFour hundred and thirteen cases of hernia were retrospectively analyzed from January 2005 to December 2016 in the Fifth Affiliated Hospital of Sun Yat-sen University and Zhuhai Maternal and Child Health Hospital. According to the surgical methods, there were 145 cases in the traditional group, 112 in the small incision group and 156 in the laparoscopic group. The operative time, blood loss, activity time, hospitalization time, postoperative pain score, incidence of incision pain, infection rate of incision, incidence of secondary hydrocele and recurrence rate of hernia were compared.
ResultsFor laparoscopic group, operation time, bleeding volume, postoperative pain score, independent activity time, hospitalization time and average hospitalization cost were all respectively less than the traditional group and small incision group, with statistical differences (F=11.616, 15.865, 9.740, 8.612, 6.207, 3.113, all P<0.05). For laparoscopic group, hematoma of scrotum rate, wound infection rate, incision pain incidence, recurrence rate and incidence of hydrocele were all lower than the traditional group and small incision group, with statistical differences ( χ2=7.175, 6.714, 11.071, 8.252, 6.470, all P<0.05).
ConclusionsLaparoscopic surgery has obvious advantages and low risk in pediatric inguinal hernia. It can be encouraged for the conditional hospitals to reduce the occurrence of local trauma and some complications.
Key words:
Hernia, inguinal; Child; Treatment
Contributor Information
Jinlin Zou
Department of Gastroenterology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
Peijian Peng
Department of Chemotherapys, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai 519000, China
Shengming Mao
Department of Hepatobiliary Surgery, Qingyuan People’s Hospital, Qingyuan 511500, China
Qinghua Zhang
Department of General Surgery, Zhuhai Maternal and Child Health Hospital, Zhuhai 519000, China