Original Article
Comparative analysis between one-step and two-step puncture assisted laparoscopic high ligation of hernia sac in the treatment of indirect inguinal hernia in children
Zhai Jiaqi, Shang Peizhong, Miao Jianjun, Liu Bing, Shi Deguang, Li Xiaowu, Du Xin, Guo Hongrong
Published 2020-04-26
Cite as Chin J Oper Proc Gen Surg(Electronic Edition), 2020,14(02): 193-196. DOI: 10.3877/cma.j.issn.1674-3946.2020.02.025
Abstract
ObjectiveTo assess the clinical efficacy and safety of one-step puncture method(using clamp type needle) versus two-step puncture method(using epidural needle) in pediatric laparoscopic high ligation of indirect inguinal hernia sac.
MethodsRetrospect review was conducted to 147 pediatric patients (≤120 cm in height) with unilateral indirect inguinal hernia(≤1.5 cm in diameter of hernial neck) in our hospital from March 2015 to June 2018, in which 64 cases were performed with epidural needle (two-step puncture method), and 83 cases were done with clamp type needle (one-step puncture method). Perioperative data were presented as (±s, and compared via independent two sample t test. One-year recurrence rates were analyzed using the χ2 test. SPSS statistical software (version 17.0) was used for all the analysis, at a significance level of P<0.05.
ResultsThere was no difference between the two groups in regard to the duration of surgery [(11.8±3.2) min vs. (12.4±2.9) min], intraoperative blood loss [(1.7±1.3) ml vs. (1.9±1.3) ml], incidence of occult contralateral hernia [n=10(12.0%) vs. n=8(12.5%)], pain score at 24 hours after surgery [(1.2±0.6) vs. (1.3±0.5)], incidence of scrotal or labial edema [n=0(0%) vs. n=1(1.6%)], hospitalization time [(2.1±1.1) d vs. (2.2±1.1) d], and one-year recurrence rates [2.4% (2/83) vs. 3.1% (2/64)].
ConclusionFor pediatric patients (≤120 cm in height) with unilateral indirect inguinal hernia(≤1.5 cm in diameter of hernial neck) who underwent laparoscopic high ligation of indirect inguinal hernia sac, both one-step puncture method and two-step puncture method can achieve satisfactory clinical effects, with similar one-year recurrence rates.
Key words:
Hernia, inguinal; Child; Laparoscopy; Ligation
Contributor Information
Zhai Jiaqi
Department of General Surgery, the Hospital of PLA 81st Group Army, Zhangjiakou, Hebei, 075000, China
Shang Peizhong
Department of General Surgery, the Hospital of PLA 81st Group Army, Zhangjiakou, Hebei, 075000, China
Miao Jianjun
Department of General Surgery, the Hospital of PLA 81st Group Army, Zhangjiakou, Hebei, 075000, China
Liu Bing
Department of General Surgery, the Hospital of PLA 81st Group Army, Zhangjiakou, Hebei, 075000, China
Shi Deguang
Department of General Surgery, the Air Force Hospital of PLA central theater command, Datong, Shanxi , 037006, China
Li Xiaowu
Department of General Surgery, the Hospital of PLA 81st Group Army, Zhangjiakou, Hebei, 075000, China
Du Xin
Department of General Surgery, the Hospital of PLA 81st Group Army, Zhangjiakou, Hebei, 075000, China
Guo Hongrong
Department of General Surgery, the Air Force Hospital of PLA central theater command, Datong, Shanxi , 037006, China