Comparative Study of Laparoscopic High Ligation of Groin and Small Incision Technique in the Treatment of Indirect Hernia in Children

Abstract

Objective: To compare the effect of laparoscopic high ligation of groin and small incision technique in the treatment of indirect hernia in children. Methods: The study was a retrospective study. 148 children with indirect hernia who were admitted to the pediatric surgery department of our hospital from January 2019 to January 2022 were selected as the research objects. According to the different operation schemes, they were divided into two groups: 56 cases in the laparoscopic group were treated with laparoscopic high ligation of the groin, including 49 boys and 7 girls. In the small incision group, 92 cases were treated with small incision minimally invasive technique, including 81 boys and 11 girls. The general data, operation related data and the incidence of postoperative complications were collected. Results: There was no significant difference in the general data between the two groups (P > 0.05). The operation time and anesthesia time of children in the laparoscopic group were significantly shorter than those in the small incision group (P < 0.05), the operation incision was significantly shorter than those in the small incision group (P < 0.05), and the postoperative recovery time and postoperative hospital stay were significantly shorter than those in the small incision group (P < 0.05). The recurrence rate, abdominal distension, scrotal swelling and secondary hydrocele in the laparoscopic group were significantly lower than those in the small incision group (P < 0.05). Conclusion: The laparoscopic high ligation of groin in the treatment of indirect hernia in children is effective and worthy of further promotion and application.