Abstract：Objective To compare the curative effect of laparoscopic and small incision surgery on pediatric indirect inguinal hernia.Methods A retrospective analysis was conducted on 456 patients with indirect inguinal hernia in Padiatric Surgery of Anqing Hospital Affiliated to Anhui Medical University from September 2011 to March 2013. In which 230 patients were treated with laparoscopic procedure (laparoscopic group) and 226 patients were treated by small incision surgery (traditional operation group). The treatment efficacies of two kinds of operation mode were analyzed retrospectively.Results In laparoscopic group, 62 patients (26.56%,62/230) with contralateral processus vaginalis were detected intraoperatively and high ligated simultaneously. There was no case converted to laparotomy, and all of the incision healed in stage Ⅰ with no obvious scar in laparoscopic group. The unilateral and bilateral repair operative time of laparoscopic procedure were (19.3±5.4)min and (26.8±6.2)min,respectively. In laparoscopic group, there were 3 patients of postoperative swelling of the scrotum, and no cases with scrotal hematoma and iatrogenic cryptorchidism, 2 patients of recurrence in the follow-up of 3-21 months. The unilateral and bilateral repair operative time in small incision surgery group were (20.8±6.5)min and(28.6±7.8)min, respectively. There were 3 patients with incision effusion and 1 patients of wound infection after operation. In traditional operation group, there were 202 patients of postoperative swelling of the scrotum, 9 patients with scrotal hematoma, and 2 patients with iatrogenic cryptorchidism, 4 patients of homolateral and 7 patients of contralateral recurrence in the follow-up of 3-21 months. There was no significant difference between two groups in the operation time and the rate of incision infection, iatrogenic cryptorchidism and recurrence after operation (all P values＞0.05). The rate of scrotum swelling, scrotal hematoma and contralateral recurrence was lower in laparoscopic group, complication rates had significant difference (all P values＜0.05).Conclusions Compared with traditional small incision surgery, laparoscopic procedure is superior in the beauty of incision, lower rate of postoperative scrotum swelling, scrotal hematoma,and contralateral recurrence. Contralateral occult hemia can be detected and ligated intraoperatively. The laparoscopic herniotomy is a safe, reliable and effective option for the treatment of pediatric indirect inguinal hernia.
蔡宝,徐冰,胡耀宗,张发明,黄珊,余鑫,袁幸. 腹腔镜与传统腹横纹小切口手术治疗小儿腹股沟斜疝效果的比较[J]. 中华解剖与临床杂志, 2015, 20(3): 245-248.
Cai Bao, Xu Bing, Hu Yaozong, Zhang Faming, Huang Shan, Yu Xin, Yuan Xing. Comparison of laparoscopic and small incision by abdominal stripes for the curative efficacy of pediatric indirect inguinal hernia. Chinese Journal of Anatomy and Clinics, 2015, 20(3): 245-248.
Mesci A, Korkmax B, Dinckan A, et al. Digital evaluation of the muscle functions of thelower extremities among inguinal hernia patients treated using three different surgical techniques: a prospective randomized study[J]. Surg Today, 2012, 42(4): 157-163.
2015, Vol. 20 
