Zhang Guofeng, Ding Huanfei, Wang Di, Guo Fei, Hu Bowen
Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Medicine (Baltimore). 2024 May 3;103(18):e37810. doi: 10.1097/MD.0000000000037810.
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.
本研究的目的是比较腹腔镜辅助手术与传统开放手术治疗小儿嵌顿性腹股沟疝的安全性和有效性。本研究纳入了2014年1月至2020年1月期间共58例小儿间接性嵌顿性腹股沟疝患者。将患者分为2组；观察组接受腹腔镜辅助手术（n = 36），对照组接受传统开放手术（n = 22）。分析并比较两组患者的总手术时间、术中出血量、术后恢复时间、住院时间、术后阴囊或外阴血肿的发生率、术后手术部位感染的发生率以及疝复发情况。与对照组相比，观察组的手术时间（38.28 ± 5.90）分钟、术中出血量（1.15 ± 0.54 mL）、术后恢复时间（8.39 ± 1.42 h）和住院时间（1.64 ± 0.59）均显著降低（P < 0.05）。观察组未发生阴囊或外阴血肿或手术部位感染，显著低于对照组（P < 0.05）。然而，两组术后疝复发率差异无统计学意义（P > 0.05）。总之，对于小儿嵌顿性腹股沟疝的治疗，腹腔镜辅助手术似乎是一种安全有效的替代传统开放手术的方法。其优点包括创伤小、恢复快、住院时间短和并发症少。
