Zhang Xiang,Kou Mingzhi,Zhang Hongwei,et al.Clinical application of laparoscopic singleneedle and doubleline method in the treatment of inguinal hernia of infants.[J].Journal of Clinical Pediatric Surgery,,17():462-465.
Clinical application of laparoscopic singleneedle and doubleline method in the treatment of inguinal hernia of infants.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 06
Page:
462-465
Column:
论著
Date of publication:
2018-06-28
- Keywords:
- Laparoscopy; Hernia; Inguinal; Therapy; Infant
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the clinical value of laparoscopy using a singleneedle with doubleline method in the treatment of inguinal hernia of infants. MethodsFrom January 2013 to July 2016,a total of 1182 cases of inguinal hernia were divided into modified (laparoscopic singleneedle & doubleline,n=656) and conventional (n=526) groups. Retrospective review was conducted for clinical data of both groups. Two groups were compared with regards to operative duration,length of stay,postoperative complications,family satisfaction and other relevant clinical data to determine which surgical approach was better.ResultsThe modified group were followed up for an average of 6.3 (1-15) months. The average operative duration was 21±11 min. There were scrotal swelling (n=3),ipsilateral recurrence (n=1) and contralateral sheathlike protrusion (n=295); The conventional group were followed up for an average of 6.1(1-12) months. The average operative duration was 22±10 min. There were scrotal swelling (n=1),ipsilateral recurrence (n=1) and contralateral sheathlike protrusion (n=295).In modified group,there was subcutaneous induration of incision (n=1). In conventional group,there were subcutaneous induration of incision (n=430) and suture reaction (n=23). Compared with conventional laparoscopy,modified group was superior and the difference was statistically significant (P<0.05). ConclusionCompared with conventional laparoscopy,laparoscopic singleneedle with doubleline method requires no special equipment for hernia. With minimal trauma,it reduces postoperative complications and patient discomforts. So this surgical approach is effective and it can achieve excellent surgical outcomes and offer good clinical application value.
Last Update:
2018-06-26