Clinical Observation of Laparoscopic High Ligation of Hernia Sac and Open Small Incision Surgery for Pediatric Inguinal Hernia
Objective To explore the clinical effect of laparoscopic high ligation of the hernia sac in the treatment of pediatric inguinal hernia.Methods A total of 65 children with inguinal hernia admitted to Pingdingshan Maternal and Child Health Hospital from April 2020 to August 2023 were selected and randomly divided into two groups using a random number table method.The control group(33 cases)underwent small incision high ligation of the hernia sac,while the observation group(32 cases)underwent laparoscopic high ligation of the hernia sac.Surgical-related indicators,C-reactive protein levels,pain scores,adverse reaction rates,and recurrence rates were compared between the two groups.Results The observation group had less intraoperative bleeding,shorter operation time,shorter time to first postoperative ambulation,shorter incision healing time,and shorter hospital stay compared to the control group,with statistically significant differences(P＜0.05).The C-reactive protein levels at 12 hours and 48 hours postoperatively were lower in the observation group than in the control group,with statistically significant differences(P＜0.05).Pain scores at 12 hours,24 hours,and 48 hours postoperatively were lower in the observation group than in the control group,with statistically significant differences(P＜0.05).The observation group had lower rates of adverse reactions(3.12%)and recurrence(0)compared to the control group(21.21%,15.15%),with statistically significant differences(P＜0.05).Conclusion Laparoscopic high ligation of the hernia sac achieves satisfactory results in the treatment of pediatric inguinal hernia,shortens the recovery time,reduces postoperative inflammatory markers and pain,and has lower rates of postoperative adverse reactions and recurrence.It is worth applying.
inguinal hernialaparoscopic high ligation of hernia saccomplications
万方数据
维普
