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Abstract：
BACKGROUND: Congenital primary inguinal hernia is a common condition among children. Although much literature regarding inguinal hernia is available, large scale analysis are few, and rarely do they expand on gender difference or incarcerated hernias.
METHODS: Patients with unilateral or bilateral inguinal hernia who were admitted to our hospital and received open inguinal hernia repair (OIHR) or laparoscopic inguinal hernia repair (LIHR) under general anesthesia were included. LIHR was performed using single-site laparoscopic percutaneous extraperitoneal closure (SLPEC). Medical records were retrospectively collected and analyzed.
RESULTS: A total of 12,190 patients were included in this study. The ratio of male to female was 4.8:1. There was a total of 10,646 unilateral hernias (87.3%) and 1544 bilateral hernias (12.7%), with a corresponding ratio of 6.9:1. 12,444 hernia repair surgeries, 11,083 (89.1%) OIHR and 1361 (10.9%) LIHR, were held. OIHR had a shorter operative time than LIHR for all unilateral and female bilateral repair, unlike for bilateral male repair. There was no difference between OIHR and LIHR for ipsilateral recurrent hernia in males. There was a difference between OIHR and LIHR for metachronous contralateral hernia. Incarcerated inguinal hernia was associated with longer operative time, hospital stay and higher hospital costs. Females and patients under 1 year were more likely to present with incarcerated hernia.
CONCLUSIONS: OIHR should be considered for male patients, especially for unilateral and complete inguinal hernia. LIHR is highly recommended for female patients. For incarcerated hernia, attention should be paid to patients under 1 year old, as they can be 60 times more susceptible, and females. Surgeons should also be aware of ovary hernias in females.
METHODS: Patients with unilateral or bilateral inguinal hernia who were admitted to our hospital and received open inguinal hernia repair (OIHR) or laparoscopic inguinal hernia repair (LIHR) under general anesthesia were included. LIHR was performed using single-site laparoscopic percutaneous extraperitoneal closure (SLPEC). Medical records were retrospectively collected and analyzed.
RESULTS: A total of 12,190 patients were included in this study. The ratio of male to female was 4.8:1. There was a total of 10,646 unilateral hernias (87.3%) and 1544 bilateral hernias (12.7%), with a corresponding ratio of 6.9:1. 12,444 hernia repair surgeries, 11,083 (89.1%) OIHR and 1361 (10.9%) LIHR, were held. OIHR had a shorter operative time than LIHR for all unilateral and female bilateral repair, unlike for bilateral male repair. There was no difference between OIHR and LIHR for ipsilateral recurrent hernia in males. There was a difference between OIHR and LIHR for metachronous contralateral hernia. Incarcerated inguinal hernia was associated with longer operative time, hospital stay and higher hospital costs. Females and patients under 1 year were more likely to present with incarcerated hernia.
CONCLUSIONS: OIHR should be considered for male patients, especially for unilateral and complete inguinal hernia. LIHR is highly recommended for female patients. For incarcerated hernia, attention should be paid to patients under 1 year old, as they can be 60 times more susceptible, and females. Surgeons should also be aware of ovary hernias in females.
摘要：
背景：先天性原发性腹股沟疝是儿童的常见病。虽然有很多关于腹股沟疝的文献，大规模分析很少，他们很少在性别差异或嵌顿疝上扩张。
方法：纳入我院收治的单侧或双侧腹股沟疝患者，并在全身麻醉下接受开放式腹股沟疝修补术（OIHR）或腹腔镜腹股沟疝修补术（LIHR）。LIHR使用单部位腹腔镜经皮腹膜外闭合术（SLPEC）进行。对病历进行回顾性收集和分析。
结果：本研究共纳入12,190例患者。男女比例为4.8:1。单侧疝10646例(87.3%),双侧疝1544例(12.7%),相应的比率为6.9:1。12,444例疝修补术,11,083（89.1%）OIHR和1361（10.9%）LIHR，举行。对于所有单侧和女性双侧修复，OIHR的手术时间比LIHR短。与双侧男性修复不同。男性同侧复发性疝的OIHR和LIHR之间没有差异。OIHR和LIHR对于异时对侧疝有差异。嵌顿性腹股沟疝与手术时间较长有关，住院时间和更高的住院费用。女性和1岁以下的患者更有可能出现嵌顿疝。
结论：男性患者应考虑OIHR，尤其是单侧和完全性腹股沟疝。LIHR强烈建议女性患者。对于嵌顿疝，应注意1岁以下的患者，因为它们可能更容易受到60倍的影响，和女性。外科医生也应该注意女性的卵巢疝。
方法：纳入我院收治的单侧或双侧腹股沟疝患者，并在全身麻醉下接受开放式腹股沟疝修补术（OIHR）或腹腔镜腹股沟疝修补术（LIHR）。LIHR使用单部位腹腔镜经皮腹膜外闭合术（SLPEC）进行。对病历进行回顾性收集和分析。
结果：本研究共纳入12,190例患者。男女比例为4.8:1。单侧疝10646例(87.3%),双侧疝1544例(12.7%),相应的比率为6.9:1。12,444例疝修补术,11,083（89.1%）OIHR和1361（10.9%）LIHR，举行。对于所有单侧和女性双侧修复，OIHR的手术时间比LIHR短。与双侧男性修复不同。男性同侧复发性疝的OIHR和LIHR之间没有差异。OIHR和LIHR对于异时对侧疝有差异。嵌顿性腹股沟疝与手术时间较长有关，住院时间和更高的住院费用。女性和1岁以下的患者更有可能出现嵌顿疝。
结论：男性患者应考虑OIHR，尤其是单侧和完全性腹股沟疝。LIHR强烈建议女性患者。对于嵌顿疝，应注意1岁以下的患者，因为它们可能更容易受到60倍的影响，和女性。外科医生也应该注意女性的卵巢疝。
