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| Comparison on the Efficacy and Complications of Single-port Laparoscopic Pediatric Indirect Inguinal Hernia Treated with Movable Hook and Small Incision of Lower Abdominal Vall |
| XU Xiaoqing, YANG Guangcheng |
| Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China |
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Abstract Objective: To investigate the effect and complications of single-port laparoscopic with Pediatric activity retractor and surgery via small incision on inguinal hernia in children. Methods: 120 cases of pediatric indirect inguinal hernia operated in our hospital from June 2017 to June 2018 were selected by stratified sampling. 60 cases in the control group were treated with hernia sac high ligation through small incision of lower abdominal wall from June 2017 to January 2018. 60 cases in the observation group were treated with single-hole laparoscopic hernia sac high ligation under single-hole laparoscopy from February 2018 to June 2018. The operation time, blood loss, hospital stay and complications were compared between the two groups. Results: The operation time, intraoperative bleeding volume and postoperative free time in the observation group respectively was(10.5±2.2、1.2±0.2、2.7±0.4),which were lower than those in the control group,the differences were significant(P<0.05); The post-operative complications in the observation group respectively was(χ2=8.1068, P0.05), which was lower than the control group, the differences were significant. Conclusions: The single-port laparoscopic treatment of indirect inguinal hernia with pediatric movable hook has better curative effect, less trauma, fewer complications and quicker recovery than the small incision operation of lower abdominal wall.
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[1] 1Kaya M,Huckstedt T,Schier F. Laparoscopic approach to incarcerated inguinal hernia in children[J].Pediatr Surg,2006,41(3):567~569.
[2] 王颖,钟剑,杨栋.开放式小切口疝囊高位结扎术治疗小儿腹股沟斜疝的临床分析[J].当代医学,2015,21(32):62~63.
[3] 向东洲,卢宗耀,王康泰,等.经脐单手单孔腹腔镜治疗小儿腹股沟斜疝145例体会[J].中国普外基础与临床杂志,2016,23(5):601~603.
[4] Schier F. Laparoscopic herniorrhaphy in girls[J].Pediatr Surg,1998,33(10):1495~1497.
[5] 孔赤寰,王莹,张柏,等.单孔腹腔镜下应用改型硬膜外针治疗小儿腹股沟斜疝[J].中国微创外科杂志,2009,15(7):587~588.
[6] 郭伟,李铁军,王佾,等.自制穿刺针经脐单孔腹腔镜小儿斜疝全腹膜外疝囊高位结扎术325例报道[J].中华疝和腹壁外科杂志(电子版),2017,11(3):189~192.
[7] 李索林,费川,张永婷,等.水分离双钩套扎针辅助单孔腹腔镜腹股沟疝腹膜外结扎术[J].中国微创外科杂志,2017(1):42~50.
[8] Espositoc,Stpeter SD,Escolinom,et al.Laparoscopic totally extraperitoneal hernia repair combined with high position ligation of spermatic rein[J].Laparocndosc Adv Surg Tech A,2014,24(11):811~818.
[9] 陈易,赵军锋,林杰,等.应用腹腔镜治疗小儿对侧未闭隐匿性鞘状突[J].中华小儿外科杂志,2016,37(10):750~753.
[10] 程康文,孙学工,王贵和,等.经皮腹膜外疝囊高位结扎术治疗小儿单侧腹股沟疝疗效及对侧鞘状突未闭探查的意义[J].中国普通外科杂志,2016,25(10):1480~1487.
[11] 石元同,张思德.腹腔镜与微创小切口手术治疗小儿腹股沟疝的临床疗效比较[J].腹腔镜外科杂志,2017,22(2);105~107.
[12] 张恒,何春霞.腹腔镜探查在单侧腹股沟疝患儿LPEC术中的 应用及对侧异时性疝的预防价值[J].中国内镜杂志,2018,24(6);17~21. |
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2019, Vol. 25 
