Mo Zhifeng,He Hanzhong,Zhang Zhuorong,et al.Application of individualized laparoscopy for oblique inguinal hernia based upon the classification of internal ring in children[J].Journal of Clinical Pediatric Surgery,,19():1130-1134.[doi:10.3969/j.issn.1671-6353.2020.12.013]
Application of individualized laparoscopy for oblique inguinal hernia based upon the classification of internal ring in children
- Keywords:
- Hernia; Inguinal/SU; Hernia; Inguinal/CN; Laparoscopy; Treatment Outcome
- CLC:
- R615;R656.2+1
- Abstract:
- Objective To explore the clinical value of laparoscopy of indirect inguinal hernia based upon the classification of internal ring in children.Methods For this retrospective and observational study,1021 children of indirect inguinal hernia in treatment group underwent pediatric surgery from April 2015 to April 2018 while another 380 children in control group had double laparoscopic high ligation of inguinal hernia sac.And 641 children in study group underwent laparoscopy (simple internal ring ligation,double internal ring ligation & double high ligation plus medial umbilical ligament) based upon the classification of internal ring.Operative duration,postoperative complications and recurrence rate were compared between two groups.Results Results All procedures were completed successfully.No significant inter-group difference existed in operative duration or postoperative complications (P>0.05).However,after 1-year follow-up,recurrence occurred in control group (n=6) and study group(n=1).Recurrent rate had inter-group statistical significance (P<0.05).Conclusion Based upon the classification of internal ring,laparoscopy of indirect inguinal hernia improves the operative outcomes and lowers the recurrent rate in children.
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Memo
收稿日期:2019-08-08。
通讯作者:余家康,Email:853594394@qq.com