PDF(Pubmed)
Abstract：
The objective of this study was to compare the safety and efficacy of laparoscopic-assisted surgery and traditional open surgery for pediatric incarcerated inguinal hernia. A total of 58 pediatric patients with indirect incarcerated inguinal hernia between January 2014 and January 2020 were included in this study. The patients were divided into 2 groups; observational group who underwent laparoscopic-assisted surgery (n = 36), and a control group who underwent traditional open surgery (n = 22). The overall operation time, intraoperative blood loss, postoperative recovery time, length of hospital stay, occurrence of postoperative scrotal or vulvar hematomas, incidence of postoperative surgical site infection, and hernia recurrence were analyzed and compared between the 2 groups. Compared with the control group, the operation time (38.28 ± 5.90) minutes, intraoperative blood loss (1.15 ± 0.54 mL), postoperative recovery time (8.39 ± 1.42 h), and length of hospital stay (1.64 ± 0.59) were significantly lower in the observational group (P < .05). There was no incidence of scrotal or vulvar hematoma or surgical site infection in the observation group, which was significantly lower than that in the control group (P < .05). However, no statistically significant difference was found in the rate of postoperative hernia recurrence between the 2 groups (P > .05). In conclusion, laparoscopic-assisted surgery appears to be a safe and effective alternative approach to traditional open surgery for the treatment of pediatric incarcerated inguinal hernia. Its advantages include reduced trauma, faster recovery, shorter hospital stays, and fewer complications.
摘要：
这项研究的目的是比较腹腔镜辅助手术和传统开腹手术治疗小儿嵌顿腹股沟疝的安全性和有效性。2014年1月至2020年1月共58例间接嵌顿腹股沟疝患儿纳入本研究。将患者分为2组,观察组(n=36)行腹腔镜辅助手术,和接受传统开放手术的对照组（n=22）。整个操作时间,术中失血,术后恢复时间,住院时间,术后阴囊或外阴血肿的发生，术后手术部位感染的发生率，分析比较2组疝复发情况。与对照组相比,手术时间(38.28±5.90)分钟,术中失血量（1.15±0.54mL），术后恢复时间(8.39±1.42h),观察组住院时间(1.64±0.59)明显低于对照组(P<0.05)。观察组无阴囊外阴血肿及手术部位感染的发生,显著低于对照组(P<0.05)。然而,两组患者术后疝复发率差异无统计学意义（P>0.05）。总之,腹腔镜辅助手术似乎是传统开放手术治疗小儿嵌顿腹股沟疝的安全有效的替代方法。它的优点包括减少创伤，更快的恢复，缩短住院时间,更少的并发症。
