Comparison of Umbilical Incision Laparoscopic Assisted Hernia Hook Needle and Lower Abdominal Transverse Small Incision Surgery in Inguinal Hernia in Children
MA Xiaopeng, CHEN Shan, XUE Yadong, et al
Suzhou Hospital Affiliated to Anhui Medical University, Anhui Suzhou 234000, China
Abstract：Objective: To compare the application effects and complications of lower abdominal transverse small incision surgery or umbilical incision laparoscopic assisted hernia hook needle surgery for inguinal hernia in children. Methods: The medical records of 120 children with inguinal hernia in the hospital from November 2019 to November 2023 were retrospectively analyzed. According to different treatment methods, 62 children who received laparoscopic assisted hernia hook needle surgery were included in group A, and 58 children who adopted lower abdominal transverse small incision surgery were set as group B. The surgical conditions, postoperative pain degree [face, legs, activity, cry, consolability behavioral tool (FLACC)] and postoperative recovery process in the two groups were observed. The body stress [serum cortisol (Cor), superoxide dismutase (SOD), β-endorphin (EP)] and femoral venous hemodynamic changes before and after surgery were compared, and the postoperative short-term and long-term complications were observed in both groups. Results: There was no statistical difference in surgical time between groups (P>0.05). Compared with group B, the intraoperative blood loss, total length of surgical incision, spontaneous activity time, postoperative gastrointestinal function recovery time and hospitalization time in group A were less or shorter (P<0.05). The FLACC scores in group A at 12, 24 and 48 hours after surgery were lower compared with those in group B (P<0.05). No statistical differences were observed in serum Cor level, SOD level, β-EP level, femoral vein diameter, blood flow velocity and blood flow between groups before surgery (P>0.05). The levels of serum Cor, SOD and β-EP in both groups at 1 day after surgery were increased compared with those before surgery (P<0.05), and the increases of the above levels in group A were lower than those in group B (P<0.05). The femoral vein diameter, blood flow velocity and blood flow volume were increased in both groups at 7 days after surgery compared to before surgery (P<0.05), and the increases of the above indexes were higher in group A than those in group B (P<0.05). The total incidence rate of postoperative short-term complications and total incidence rate of long-term complications were not statistically different between groups (P>0.05). Conclusion: Both surgical methods are safe and feasible for the treatment of inguinal hernia in children. Compared with lower abdominal transverse small incision surgery, umbilical incision laparoscopic assisted hernia hook needle has the advantages of smaller surgical trauma, faster postoperative recovery and milder body's stress degree, and it has fewer postoperative complications.
2025, Vol. 31 
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