High Risk Factors of Recurrence after Laparoscopic High Ligation of Hernia Sac in Children with Indirect Hernia

Objective: To explore the high risk factors of recurrence after laparoscopic high ligation of hernia sac in children with indirect hernia, and to provide ideas for clinical prevention of indirect hernia in children. Methods: This study was a retrospective case-control study. 457 children with indirect inguinal hernia who were admitted to the pediatric surgery department of our hospital from January 2017 to January 2021 were taken as the research objects. According to whether they relapsed, the 457 children with indirect inguinal hernia were divided into two groups: 10 in the recurrence group and 447 in the non recurrence group. Make statistics and record the general baseline data of the children, such as gender, age, height, weight and relevant laboratory indicators, including ESR, CRP, etc. Single factor analysis and logistic regression were used to analyze the related indicators. Results: After laparoscopic high ligation of indirect inguinal hernia sac in 457 children with indirect inguinal hernia, 10 cases recurred, and the recurrence rate was 2.19%. Univariate analysis showed that age, BMI, ESR, CRP, diameter of internal loop and type of ligation line were the high risk factors for recurrence after laparoscopic high ligation of indirect hernia sac in children (P < 0.05). The results of multivariate analysis showed that ESR, CRP, diameter of internal loop and type of ligation line were the high risk factors for recurrence after laparoscopic high ligation of indirect hernia sac in children (P < 0.05). Conclusion: The ESR, CRP, the diameter of inner ring and the type of ligation line are the high risk factors of recurrence after laparoscopic high ligation of indirect hernia sac in children, which should be paid more attention in clinic.