Archive | 2019
Comparison of clinical efficacy of laparoscopy and traditional surgery for children with incarcerated indirect inguinal hernia
Abstract
Objective \nTo investigate the comparison of clinical efficacy of laparoscopy and traditional surgery for children with incarcerated indirect inguinal hernia. \n \n \nMethods \nFrom January 2012 to March 2017, 80 children with incarcerated indirect inguinal hernia admitted to Huaian Hospital Affiliated to Xuzhou Medical University were divided into study group and control group according to different treatment methods, with 40 cases in each group. Patients in the control group were given traditional surgery and patients in the study group were given laparoscopy surgery, then the clinical outcome of two groups were compare. \n \n \nResults \nThe length of incision, the time of hospitalization and first farting in the study group were better than those in the control group [(0.8±0.2) cm vs (3.8±1.0) cm, (7.6±1.4) days vs (14.6±2.1) days, (6.6±1.3) hours vs (12.3±2.0) hours, t=-18.605、-17.541、-15.113, all P<0.001]. There was no significant different in the operation time between study group and control group [(26.5±8.0) minutes vs (25.8±7.3) minutes, t=0.409, P=0.684]. The complication rate of the study group (2.5%) was significantly lower than that of the control group (2.5% vs 22.5%, χ2=7.314, P=0.007). The immune inflammatory response indexes IgG、IgA、IgM、CPR、IL-6 on the 3rd day in the study group compared with the control group, were significantly improved (t=-3.526、-8.485、-5.262、13.091、20.155, all P<0.001). There was no recurrence in the both groups after one-year follow-up (χ2=0.513, P=0.474). \n \n \nConclusion \nThe laparoscopy surgery in the treatment of children with incarcerated indirect inguinal hernia is significant efficiency and it can reduce the short-term immune inflammatory response after surgery. However, in view of its prognosis, it is necessary to further increase the number of research cases for further study. \n \n \nKey words: \nIncarcerated indirect inguinal hernia;\xa0Laparoscopy surgery;\xa0Immune inflammatory response;\xa0Prognosis