Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 970-973
XIAO Wei-xing, ZHOU Hai-jun, CHEN Bing-rong, YU Sheng-cheng, ZHOU Jun. The value of suspension pneumoperitoneum-free laparoscopic surgery in the treatment of inguinal hernia in children[J]. Chinese Journal of General Practice, 2022, 20(6): 970-973. doi: 10.16766/j.cnki.issn.1674-4152.002501
Citation: XIAO Wei-xing, ZHOU Hai-jun, CHEN Bing-rong, YU Sheng-cheng, ZHOU Jun. The value of suspension pneumoperitoneum-free laparoscopic surgery in the treatment of inguinal hernia in children[J]. Chinese Journal of General Practice, 2022, 20(6): 970-973. doi: 10.16766/j.cnki.issn.1674-4152.002501
shu

The value of suspension pneumoperitoneum-free laparoscopic surgery in the treatment of inguinal hernia in children

doi: 10.16766/j.cnki.issn.1674-4152.002501

  • No.4 General Surgery Ward, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing, Zhejiang 314000, China

Funds:

 2018PY072

  • Received Date: 2021-08-15
    Available Online: 2022-09-21
    Abstract
  •   Objective  To discuss the value of suspension pneumoperitoneum-free laparoscopic surgery in the treatment of inguinal hernia in children.  Methods  Seventy-two patients with inguinal hernia aged between 1 and 12 who were treated in the Department of General Surgery of Jiaxing Hospital of Traditional Chinese Medicine from October 2018 to December 2020 were selected as the research object.According to random number table method, the patients were divided into observation group and control group, with 36 cases in each group.The children in the control group were treated with high ligation of hernia sac under traditional laparoscopy, while the children in the observation group were treated with suspension pneumoperitoneum-free laparoscopic surgery.The excellent and good rate of postoperative pain score, operation time, discharge time, recurrence rate 3 months after operation and stress index were observed in the two groups.  Results  The excellent rate of pain score in the observation group was significantly higher than that in the control group (χ2=4.571, P=0.033).The duration of surgery and hospital stay in the observation group were shorter than those in the control group[(13.63±3.66) min vs.(16.25±2.17) min, (3.38±0.65) d vs.(4.06±0.23) d, all P < 0.01].After operation, the observation group had lower levels of cortisol, IL-6, IL-10 and TNF-α than the control group, and the difference had statistical significance (all P < 0.05).There was no significant difference in recurrence rate 3 months after surgery between the two groups (P=0.999).  Conclusion  The application of suspension pneumoperitoneum-free laparoscopic surgery in the treatment of inguinal hernia in children can shorten the operation time and postoperative recovery time, and reduce the degree of postoperative pain, and relieve stress response, which is worth applying and popularizing.

     

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