Volume 21 Issue 5
May  2023
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CHEN Fangfang, FU Xiaojun, JIANG Lei, WANG Chao, WANG Yu. Clinical efficacy of transumbilical single-port laparoscopic treatment of inguinal hernia in children[J]. Chinese Journal of General Practice, 2023, 21(5): 765-768. doi: 10.16766/j.cnki.issn.1674-4152.002978
Citation: CHEN Fangfang, FU Xiaojun, JIANG Lei, WANG Chao, WANG Yu. Clinical efficacy of transumbilical single-port laparoscopic treatment of inguinal hernia in children[J]. Chinese Journal of General Practice, 2023, 21(5): 765-768. doi: 10.16766/j.cnki.issn.1674-4152.002978

Clinical efficacy of transumbilical single-port laparoscopic treatment of inguinal hernia in children

doi: 10.16766/j.cnki.issn.1674-4152.002978
Funds:

 82070561

 2021byzd129

  • Received Date: 2022-05-16
  •   Objective  To evaluate the clinical efficacy and safety of a new threading technique in the treatment of inguinal hernia in children by transumbilical single-port laparoscopic high ligation.  Methods  This research used a retrospective cohort study. A total of 220 cases of inguinal hernia treated at the First Affiliated Hospital of Bengbu Medical College from August 2020 to August 2021 were selected, including 116 cases of inguinal hernia treated by single-port laparoscopy as the observation group, and 104 cases of inguinal hernia treated by double-port laparoscopy as the control group. The intraoperative, postoperative and perioperative adverse reactions and long-term recurrence were compared between the two groups.  Results  (1) Comparison of baseline data: there were no significant differences in gender, age, location of disease and other general data between the two groups (all P>0.05); (2) Comparison of basic conditions of surgery: there were no significant differences in surgical duration and intraoperative blood loss in the observation group (all P>0.05); length of hospital stay and surgical cost were significantly different between the two groups (all P < 0.05). (3) Perioperative adverse reactions: there were no significant differences in postoperative fever and scrotal edema between the two groups (all P>0.05). There were significant differences in postoperative incisional adverse reactions (P < 0.05). (4) Recurrence: patients in the two groups were discharged from hospital and followed up for 6 months. The results showed that there was 1 case of recurrence in the control group (0.96%). There was no recurrence case in the observation group. There was no significant difference in the recurrence rate between the two groups (P>0.05).  Conclusion  Single-port laparoscopic treatment of inguinal hernia in children using a new threading technique is clinically safe and effective and worth promoting.

     

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  • [1]
    YEAP E, PACILLI M, NATARAJA R M. Inguinal hernias in children[J]. Aust J Gen Pract, 2020, 49(1-2): 38-43.
    [2]
    RAMACHANDRAN V, EDWARDS C F, BICHIANU D C. Inguinal hernia in premature infants[J]. Neoreviews, 2020, 21(6): e392-e403. doi: 10.1542/neo.21-6-e392
    [3]
    MORINI F, DREUNING K M A, JANSSEN LOK M J H, et al. Surgical management of pediatric inguinal hernia: a systematic review and guideline from the European Pediatric Surgeons ' Association Evidence and Guideline Committee[J]. Eur J Pediatr Surg, 2022, 32(3): 219-232. doi: 10.1055/s-0040-1721420
    [4]
    WIMPER Y, STORTELDER E, BOTDEN S M B I, et al. Inguinal hernia in children: easily incarcerated[J]. Ned Tijdschr Geneeskd, 2021, 165: D5330. PMID: 33793128.
    [5]
    张广磊, 张平, 冯学会, 等. 超声引导下骶管阻滞在小儿腹腔镜下腹股沟疝手术中的应用[J]. 中华全科医学, 2022, 20(6): 982-985. doi: 10.16766/j.cnki.issn.1674-4152.002504

    ZHANG G L, ZHANG P, FENG X H, et al. Application of ultrasound-guided sacral canal block in laparoscopic inguinal hernia surgery in children[J]. Chinese Journal of General Practice, 2022, 20(6): 982-985. doi: 10.16766/j.cnki.issn.1674-4152.002504
    [6]
    WANG F, ZHONG H, SHOU T, et al. Single-site laparoscopic percutaneous extraperitoneal closure versus modified transumbilical two-port laparoscopic suturing of the hernia sac for the treatment of pediatric inguinal hernia: comparison of the outcomes of two different approaches[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(1): 103-108. doi: 10.1089/lap.2018.0405
    [7]
    姜景凯. 经脐单孔与两孔腹腔镜手术治疗小儿腹股沟斜疝的疗效分析[J]. 贵州医药, 2019, 43(3): 234-235. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI201903026.htm

    JIANG J K. Analysis of the efficacy of single and two-hole laparoscopic surgery through the umbilicus in pediatric inguinal hernia[J]. Guizhou Medical Journal, 2019, 43(3): 234-235. https://www.cnki.com.cn/Article/CJFDTOTAL-GZYI201903026.htm
    [8]
    葛广林, 王文忠. 单孔腹腔镜疝囊高位结扎术在小儿腹股沟疝治疗中的应用[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(1): 87-89. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFD202201020.htm

    GE G L, WANG W Z. Application of single-port laparoscopic high ligation of hernia sac in the treatment of pediatric inguinal hernia[J]. Chin J Hernia Abdominal Wall Surg(Electronic Edition), 2022, 16(1): 87-89. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFD202201020.htm
    [9]
    SHALABY R, ABD ALRAZEK M, ELSAIED A, et al. Fifteen years experience with laparoscopic inguinal hernia repair in infants and children[J]. J Laparoendosc Adv Surg Tech A, 2018, 28(1): 101-105. doi: 10.1089/lap.2017.0269
    [10]
    GALVÁN MONTAÑO A, OUDDANE ROBLES P M A, GARCÍA MORENO S. Sutureless inguinal hernia repair with creation of a peritoneal lesion in children: a novel laparoscopic technique with a low recurrence rate[J]. Surg Endosc, 2018, 32(2): 638-642. doi: 10.1007/s00464-017-5713-8
    [11]
    肖卫星, 周海军, 陈炳荣, 等. 悬吊免气腹腹腔镜手术治疗小儿腹股沟疝的临床研究[J]. 中华全科医学, 2022, 20(6): 970-973. doi: 10.16766/j.cnki.issn.1674-4152.002501

    XIAO W X, ZHOU H J, CHEN B R, et al. 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
    [12]
    LI S, LIU X, WONG K K Y, et al. Single-port laparoscopic herniorrhaphy using a two-hooked cannula device with hydrodissection[J]. J Pediatr Surg, 2018, 53(12): 2507-2510. doi: 10.1016/j.jpedsurg.2018.08.009
    [13]
    JOHNSON K N, CRISS C N, HIRSCHL R B, et al. Ultrasound-guided pediatric inguinal hernia repair[J]. J Pediatr Surg, 2021, 56(7): 1240-1245. doi: 10.1016/j.jpedsurg.2021.02.053
    [14]
    SHALABY R, ELSAIED A, SHEHATA S, et al. Needlescopic assisted internal ring suturing; a novel application of low-cost home-made instruments for pediatric inguinal hernia repair[J]. Hernia, 2019, 23(6): 1279-1289.
    [15]
    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. Application of a self-made epidural catheter needle in laparoscopic high ligation of hernial sac in children[J]. Chinese Journal of General Practice, 2017, 15(7): 1156-1158, 1270. doi: 10.16766/j.cnki.issn.1674-4152.2017.07.019
    [16]
    倪谢根, 霍明生, 杨培培, 等. 经脐腹腔镜联合针式抓钳在小儿疝囊高位结扎术中的应用[J]. 中国微创外科杂志, 2021, 21(1): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWWK202101020.htm

    NI X G, HUO M S, YANG P P, et al. High ligation of hernia sac in children by using trans-umbilical laparoscopy and needle type grasping forceps[J]. Chin J Min Inv Surg, 2021, 21(1): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWWK202101020.htm
    [17]
    潘振楠, 董阳杰. 水分离双钩套扎针辅助单孔腹腔镜腹股沟疝腹膜外结扎术治疗双侧腹股沟疝患儿的临床效果[J]. 河南医学研究, 2021, 30(32): 6034-6036. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX202132023.htm

    PAN Z N, DONG Y J. Clinical Effect of Water - Separated Double Hook Garnet Needle Assisted Single Port Laparoscopic Extraperitoneal Ligation of Inguinal Hernia in Children with Bilateral Inguinal Hernia[J]. Henan Medical Research, 2021, 30(32): 6034-6036. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYX202132023.htm
    [18]
    黄杰, 浦惠民, 李新国, 等. 缝线穿引器辅助单孔腹腔镜治疗小儿腹股沟斜疝60例疗效分析[J]. 安徽医药, 2022, 26(10): 1981-1984, 2122. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202210017.htm

    HUANG J, PU H M, LI X G, et al. Efficacy of single-incision laparoscopy with suture guide in indirect inguinal hernia repair in children: an analysis of 60 cases[J]. Anhui Medical and Pharmaceutical, 2022, 26(10): 1981-1984, 2122. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202210017.htm
    [19]
    赵春, 姚宏芹. 杂交手术与腹腔镜下修补术治疗腹壁切口疝的临床研究[J]. 中华疝和腹壁外科杂志: 电子版, 2019, 13(6): 537-539. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFD201906014.htm

    ZHAO C, YAO H Q. Clinical study of open surgery assisted laparoscopy and complete laparoscopic repair in the treatment of abdominal incisional hernia[J]. Chin J Hernia Abdominal Wall Surg(Electronic Edition), 2019, 13(6): 537-539. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFD201906014.htm
    [20]
    TAYLOR K, SONDERMAN K A, WOLF L L, et al. Hernia recurrence following inguinal hernia repair in children[J]. J Pediatr Surg, 2018, 53(11): 2214-2218.
    [21]
    KILDA A, BERZANSKIS M, LUKOSIUTE-URBONIENE A, et al. High recurrence rate of children ' s inguinal hernia after percutaneous internal ring suturing: a single-center study[J]. Hernia, 2021, 25(3): 797-801.
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