Clinical efficacy and safety evaluation of single-port laparoscopy assisted hernia hook needle in the treatment of umbilical hernia in children
Objective To investigate the clinical efficacy of single-hole laparoscopic assisted hernia hook needle for umbilical hernia in children and its effect on postoperative complications and recurrence rate.Methods A total of 98 children with umbilical hernia admitted to Tangshan Maternal and Child Health Hospital from May 2020 to June 2023 were selected,including 56 males and 42 females,aged(3.16±0.38)years old,ranging from 14 months to 12 years old.They were divided into a control group and a study group according to therapeutic method,with 49 cases in each group.The control group was treated with open surgery,but the study group was treated with single-hole laparoscopic assisted hernia hook needle.The operation time,postoperative spitalization time,intraoperative blood loss,perioperative stress response,clinical efficacy,postoperative complications and recurrence rate were compared between the two groups.Results The operation time,postoperative spitalization time and intraoperative blood loss of the study group were lower than those of the control group,and the differences were statistically significant(P＜0.05).At 2 h after operation,the levels of cortisol,epinephrine and norepinephrine(NE)in the study group were lower than those in the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the total effective rate and recurrence rate between the study group and the control group(P＞0.05).The incidence rate of complications in the study group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Both single-hole laparoscopic assisted hernia hook needle and open surgery can achieve ideal therapeutic effects in the treatment of umbilical hernia in children,but the single-port laparoscopic assisted hernia hook needle in the treatment of umbilical hernia in children has advantages in operation time,hospitalization time,intraoperative blood loss,surgical stress response and control of complications.
万方数据
维普
