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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    • References(18)
  • [1]
    陈炳荣, 肖卫星, 周海军. 悬吊免气腹腹腔镜小儿疝囊高位结扎术的疗效观察[J]. 浙江医学, 2019, 41(7): 697-698.

    CHEN B R, XIAO W X, ZHOU H J, et al. Effect of suspension pneumoperitoneum free laparoscopic high ligation of hernia sac in children[J]. Zhejiang Medicine, 2019, 41(7): 697-698.
    [2]
    卞军, 施伟栋, 张向宁. 腹腔镜下自制疝气针在小儿腹股沟斜疝合并大网膜粘连中的应用[J]. 中华小儿外科杂志, 2018, 39(12): 928-931. doi: 10.3760/cma.j.issn.0253-3006.2018.12.011

    BIAN J, SHI W D, ZHANG X N, et al. Application of laparoscopic self-made hernia needle in children with oblique inguinal hernia complicated with greater omentum adhesion[J]. Chinese Journal of Pediatric Surgery, 2018, 39(12): 928-931. doi: 10.3760/cma.j.issn.0253-3006.2018.12.011
    [3]
    REMZI F H, KIMAT H T, KAOUK J H, et al. Single-port laparoscopy in colorectal surgery[J]. Colo Rectal Dis, 2008, 10(8): 823-826. doi: 10.1111/j.1463-1318.2008.01660.x
    [4]
    万琦文, 石英佐, 张亦鹏. 腹腔镜疝囊高位结扎术与传统开放式疝囊高位结扎术治疗小儿腹股沟疝的疗效及成本比较[J]. 新乡医学院学报, 2017, 34(8): 745-747.

    WAN Q W, SHI Y Z, ZHANG Y P, et al. Laparoscopic high ligation of hernia sac and traditional open high ligation of hernia sac in the treatment of inguinal hernia in children: Efficacy and cost comparison[J]. Journal of Xinxiang Medical University, 2017, 34(8): 745-747.
    [5]
    王小艳, 李权林, 李阳, 等. 腹腔镜小儿斜疝疝囊高位结扎术后疝复发相关因素分析[J]. 中华小儿外科杂志, 2016, 37(10): 758-761. doi: 10.3760/cma.j.issn.0253-3006.2016.10.010

    WANG X Y, LI Q L, LI Y, et al. Related factors of hernia recurrence after laparoscopic high ligation of hernia sac in children[J]. Chinese Journal of Pediatric Surgery, 2016, 37(10): 758-761. doi: 10.3760/cma.j.issn.0253-3006.2016.10.010
    [6]
    周凯, 杨向东, 付晓君, 等. 小儿腹腔镜疝囊高位结扎术与传统疝囊高位结扎术的临床研究[J]. 中华全科医学, 2015, 13(5): 719-722.

    ZHOU K, YANG X D, FU X J, et al. Clinical study of laparoscopic high ligation of hernia sac and traditional high ligation of hernia sac in children[J]. Chinese Journal of General Practice, 2015, 13(5): 719-722.
    [7]
    SESTI F, MELGRATI L, DAMIANI A, et al. Isobaric (gasless) laparosco picuterine myomectomy: An overview[J]. Eur J Obstet Gynecol Reprod Biol, 2006, 129(1): 9-14. doi: 10.1016/j.ejogrb.2006.04.027
    [8]
    刘莹, 刘天婧, 王恩波. 不同年龄段儿童疼痛评估工具的选择[J]. 中国疼痛医学杂志, 2012, 18(12): 752-755. doi: 10.3969/j.issn.1006-9852.2012.12.015

    LIU Y, LIU T J, WANG E B, et al. Selection of pain assessment tools for children in different age groups[J]. Chinese Journal of Pain Medicine, 2012, 18(12): 752-755. doi: 10.3969/j.issn.1006-9852.2012.12.015
    [9]
    李从军, 吴永祥, 李三石, 等. 腹腔镜下疝囊高位结扎术与传统疝囊高位结扎术治疗小儿腹股沟疝的疗效[J]. 中华疝和腹壁外科杂志(电子版), 2019, 13(5): 444-447. doi: 10.3877/cma.j.issn.1674-392X.2019.05.015

    LI C J, WU Y X, LI S S, et al. Effect of laparoscopic high ligation of hernia sac and traditional high ligation of hernia sac in the treatment of inguinal hernia in children[J]. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 2019, 13(5): 444-447. doi: 10.3877/cma.j.issn.1674-392X.2019.05.015
    [10]
    邵景明. 传统与腹腔镜疝囊高位结扎术治疗小儿腹股沟斜疝的临床疗效研究[J]. 中国现代药物应用, 2019, 13(17): 16-17.

    SHAO J M. Traditional and laparoscopic high ligation of hernia sac for the treatment of oblique inguinal hernia in children[J]. Chinese journal of modern drug application, 2019, 13(17): 16-17.
    [11]
    钱科洪, 李光学, 杜波. 小儿腹股沟疝应用单孔腹腔镜疝囊高位结扎术与传统手术治疗的效果及安全性分析[J]. 中国社区医师, 2019, 35(22): 62-63. doi: 10.3969/j.issn.1007-614x.2019.22.043

    QIAN K H, LI G X, DU B, et al. Effect and safety of single-port laparoscopic high ligation of hernia sac and traditional surgery for inguinal hernia in children[J]. Chinese Community Doctors, 2019, 35(22): 62-63. doi: 10.3969/j.issn.1007-614x.2019.22.043
    [12]
    CHEN X, ZHANG M Q, WANG X Q, et al. The flightin gene is necessary for the emission of vibrational signals in the rice brown planthopper (Nilaparvata lugens Stål)[J]. J Insect Physiol, 2019, 112: 101-108. doi: 10.1016/j.jinsphys.2018.10.009
    [13]
    CAI K L, WANG G B, XIONG L J, et al. Effects of carbon dioxide and nitrogen on adhesive growth and expressions of E-cadherin and VEGF of human colon cancer cell[J]. World J Gastroenterol, 2003, 9(7): 1594-1596. doi: 10.3748/wjg.v9.i7.1594
    [14]
    陈爱华, 赵文英. 无气腹悬吊式腹腔镜和气腹腹腔镜手术对患者应激反应的影响比较[J]. 中外医疗, 2017, 36(30): 1-5.

    CHEN A H, ZHAO W Y. Effect of pneumoperitoneally suspended laparoscopic surgery on stress response in patients[J]. China Foreign Medical Treatment, 2017, 36(30): 1-5.
    [15]
    徐迈宇, 麻忠武, 陈峰, 等. 悬吊式无气腹腹腔镜阑尾切除术在超高龄患者中的临床应用[J]. 温州医科大学学报, 2019, 49(11): 853-856. doi: 10.3969/j.issn.2095-9400.2019.11.014

    XU M Y, MA Z W, CHEN F, et al. Clinical application of suspended gasless laparoscopic appendectomy in super-aged patients[J]. Journal of Wenzhou Medical University, 2019, 49(11): 853-856. doi: 10.3969/j.issn.2095-9400.2019.11.014
    [16]
    SHENG L, WU J S, ZHANG M, et at. Analysis of risk factors associated with outcomes in road traffic injury patients with acute lung injury[J]. J Int Med Res, 2009, 37(3): 835-840. doi: 10.1177/147323000903700327
    [17]
    胡宗举, 宁长青, 孙雪峰, 等. 改良疝针在腹腔镜下小儿疝高位结扎术的应用体会[J]. 中华全科医学, 2017, 15(7): 1156-1158, 1270. doi: 10.16766/j.cnki.issn.1674-4152.2017.07.019

    HU Z J, NING C Q, SUN X F, et al. Modified hernia needle in laparoscopic high junction of pediatric hernia Application of Ligation[J]. Chinese Journal of General Practice, 2017, 15(7): 1156-1158, 1270. doi: 10.16766/j.cnki.issn.1674-4152.2017.07.019
    [18]
    张炽棠, 何应新, 林汉昇, 等. 免气腹腹腔镜下胆囊切除术的应用价值[J]. 中国基层医药, 2012, 19(4): 544-545. doi: 10.3760/cma.j.issn.1008-6706.2012.04.033

    ZHANG C T, HE Y X, LIN H S, et al. Application of pneumoperitoneum free laparoscopic cholecystectomy[J]. Chinese Journal of Primary Medicine and Pharmacy, 2012, 19(4): 544-545. doi: 10.3760/cma.j.issn.1008-6706.2012.04.033
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