Green Guidewire Combined with Epidural Needle-Saline Separating Minimize Invasiveness and Optimize Outcomes in Single-Port Laparoscopic Treatment for Pediatric Inguinal Hernia.

IF 1.1 4区 医学 Q3 SURGERY
Haipeng Lin, Jianfeng Zeng, Zhaozhen Qiu, Jingshan Huang, Zhiping Zhou
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引用次数: 0

Abstract

Objective: To investigate the application value, feasibility, and safety of modified single-port laparoscopic surgery in the treatment of pediatric inguinal hernia. Methods: One hundred and twenty cases of children with indirect inguinal hernia admitted from 2017 to 2022 were enrolled in the Control and Observation groups, with 80 and 40 cases, respectively. They underwent traditional open high ligation of the hernia sac and modified single-port laparoscopic high ligation of the hernia sac, respectively. The operation duration, surgical incision size, intraoperative bleeding, postoperative hospital stay, first ambulation time, and hospitalization expenses were compared between the two groups, as well as the incidence of surgical complications in the two groups. Results: The surgical incision size, intraoperative bleeding, postoperative hospital stay, and first ambulation time of the Observation group were less than those of the Control group. There was no significant difference in operation duration or hospitalization expenses between the two groups. Only two cases in the Observation group showed suture knot reactions after surgery, with no incision infection, inguinal hematoma, iatrogenic cryptorchidism, etc. The overall incidence of complications in the Observation group was lower than that of the Control group. Conclusion: Modified single-port laparoscopic surgery for inguinal hernia in children has the advantages of minimal invasiveness, and enhanced recovery, along with fewer complications and recurrence, hence it is worthy of recommendation in clinical practice.

在单孔腹腔镜治疗小儿腹股沟疝气的过程中,绿色导丝与硬膜外针-盐水分离技术相结合,最大限度地减少了创口,优化了疗效。
目的探讨改良单孔腹腔镜手术在治疗小儿腹股沟斜疝中的应用价值、可行性和安全性。方法将2017年至2022年收治的120例间接性腹股沟疝患儿纳入对照组和观察组,分别为80例和40例。分别接受传统开腹疝囊高位结扎术和改良单孔腹腔镜疝囊高位结扎术。比较两组患者的手术时间、手术切口大小、术中出血量、术后住院时间、首次下床活动时间和住院费用,以及两组手术并发症的发生率。结果观察组的手术切口大小、术中出血量、术后住院时间和首次下床活动时间均少于对照组。两组的手术时间和住院费用无明显差异。观察组仅有 2 例术后出现缝线结扎反应,无切口感染、腹股沟血肿、先天性隐睾等。观察组的总体并发症发生率低于对照组。结论改良单孔腹腔镜手术治疗儿童腹股沟疝具有创伤小、恢复快、并发症和复发率低等优点,值得在临床实践中推荐。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
163
审稿时长
3 months
期刊介绍: Journal of Laparoendoscopic & Advanced Surgical Techniques (JLAST) is the leading international peer-reviewed journal for practicing surgeons who want to keep up with the latest thinking and advanced surgical technologies in laparoscopy, endoscopy, NOTES, and robotics. The Journal is ideally suited to surgeons who are early adopters of new technology and techniques. Recognizing that many new technologies and techniques have significant overlap with several surgical specialties, JLAST is the first journal to focus on these topics both in general and pediatric surgery, and includes other surgical subspecialties such as: urology, gynecologic surgery, thoracic surgery, and more.
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