疝气钩针协助下腹腔镜经脐单部位治疗腹股沟嵌顿性斜疝患儿的临床疗效

doi:10.3969/j.issn.1006-6233.2023.10.010

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Abstract Objective: To study the clinical effect of hernia crochet assisted laparoscopic single site transumbilical treatment of inguinal incarcerated oblique hernia in children. Methods: A retrospective analysis was performed on 100 children with inguinal incarcerated oblique hernia admitted from January 2021 to January 2023. The subjects were divided into study group (50 cases) and control group (50 cases) according to the surgical methods. The study group received hernia crocheted assisted laparoscopic single site transumbilical treatment, while the control group received open surgery. The levels of inflammatory factors [interleukin-6 (IL-6), C-reactive protein (CRP)] before and after surgery were compared with intraoperative indicators (incision length, intraoperative blood loss, and operation time), postoperative indicators (first ventilation time, first time of getting out of bed, and length of hospital stay) and the incidence of complications (scrotal redness, chronic pain, and incision infection) between the two groups. Results: There were no significant differences in IL-6 and CRP levels between the two groups before surgery (P>0.05). Postoperative IL-6 (32.91±6.06) mg/L and CRP (14.53±2.91) ng/L in the study group were significantly lower than those in the control group (42.58±7.84) mg/L and 18.14±3.08 ng/L, and the difference was statistically significant(P<0.05). Incision length (0.39±0.14) cm and intraoperative blood loss (3.41±0.78) ml in the study group were significantly lower than those in the control group (3.37±1.13) cm and (19.42±3.96) ml. The time of operation (32.41±6.73) min, the time of primary ventilation (8.87±1.77) h, the time of first getting out of bed (13.58±2.93) h and the time of hospitalization (2.81±0.69) d were significantly shorter than those of the control group (56.66±10.14) min and the time of primary ventilation (17.18±3). 56) h, the first time out of bed (22.53±3.15)h, the length of hospital stay (4.97±1.85)d, the difference was statistically significant (P<0.05). The incidence of scrotal swelling, chronic pain and incision infection in the study group was significantly lower than that in the control group, the difference was statistically significant (P<0.05). Conclusion: Hernia crochet assisted laparoscopic single site transumbilical treatment of inguinal incarcerated oblique hernia in children with significant clinical efficacy, can reduce inflammatory response in children, can also shorten the length of incision and operation, primary ventilation, initial ambulation, and hospital stay in children, reduce intraoperative blood loss and complications.

Key words： Hernia crochet Laparoscopy Single part of umbilicus Inguinal incarcerated oblique hernia Inflammatory factor

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	PIAO Qian
	SUN Shiqi

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PIAO Qian,SUN Shiqi. Clinical Efficacy of Hernia Crochet Assisted Laparoscopic Single Site Transumbilical Treatment for Children with Inguinal Incarcerated Oblique Hernia[J]. HeBei Med, 2023, 29(10): 1640-1644.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.10.010 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I10/1640

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