Effects of laparoscopic high ligation of the hernial sac on WBC,CRP levels and the 1-year recurrence rate in children with inguinal hernia
Objective To explore the effects of laparoscopic high ligation of the hernial sac on white blood cell count(WBC),C-reactive protein(CRP)levels and the 1-year recurrence rate in children with inguinal hernia.Methods A total of 60 children with inguinal hernias were treated at Jinzhai County Hospital of Traditional Chinese Medicine between January 2017 and January 2022.They were divided into two groups based on the surgical method used:laparoscopic group(n=30)and traditional group(n=30).The traditional group underwent traditional open high ligation of the hernial sac,while the laparoscopic group received laparo-scopic high ligation of the hernial sac.Perioperative indexes,levels of stress markers(WBC,CRP)before and 12 hours after surgery,and Visual Analogue Scale(VAS)scores at 6,12 and 24 hours post-surgery were com-pared between the two groups.Recurrence and complications were observed during a one-year follow-up period.Results The operation time,leaving bedtime and hospitalization time in the laparoscopic group were shorter than those in the traditional group(t=13.519,14.434,6.280,P<0.05).Additionally,intraoperative blood loss was lower in the laparoscopic group compared to the traditional group(t=13.351,P<0.05).After surgery,lev-els of WBC and CRP increased in both groups,with a statistically significant difference compared to pre-surgery levels(P<0.05).The levels of WBC and CRP in the laparoscopic group were lower than those in the traditional group,and the difference was statistically significant(t=5.984,6.562,P<0.05).At 6,12 and 24 hours post-sur-gery,VAS scores in the laparoscopic group were lower than those in the traditional group(t=4.111,4.989,4.864,P<0.05).After a 1-year of follow-up,there was no significant difference in recurrence rates between the laparo-scopic group and the traditional group(0.00%vs3.33%,x2=1.017,P>0.05).After surgery,the incidence of com-plications in laparoscopic group was lower than that in traditional group(3.33%vs 30.00%,x2=7.680,P<0.05).Conclusion The laparoscopic high ligation of the hernial sac is a minimally traumatic treatment for children with inguinal hernias.This procedure effectively reduces inflammatory response,resulting in mild postoperative pain and fewer complications.It also promotes quicker postoperative recovery for children,with a low recurrence rate.
Laparoscopic high ligation of hernial sacInguinal herniaChildWBCCRP
NETL
NSTL
万方数据
