脐部切口腹腔镜辅助疝钩针和下腹横纹小切口手术在小儿腹股沟疝中的应用比较

doi:10.3969/j.issn.1006-6233.2025.09.024

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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.

Key words： Lower abdominal transverse striation small incision surgery Pediatric inguinal hernia Umbilical incision laparoscopic assisted hernia hook needle Complications

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2025.09.024 OR http://www.hbyxzzs.cn/EN/Y2025/V31/I9/1547

[1] 吴耿刚,王理想,刘连弟.悬吊免气腹腹腔镜手术治疗小儿腹股沟疝的疗效分析[J].临床外科杂志,2024,32(12):1293-1297.
[2] 许恕,周正武,付伟,等.腹腔镜疝囊高位结扎术治疗小儿腹股沟疝对WBC、CRP水平及1年复发率的影响[J].分子诊断与治疗杂志,2024,16(4):604-607.
[3] 杨坤,李杨,黄曈,等.腹腔镜手术治疗小儿腹股沟疝的并发症分析[J].中华疝和腹壁外科杂志(电子版),2022,16(1):83-86.
[4] Morini F,Dreuning KMA,Janssen Lok MJH,et al.Surgical management of pediatric inguinal hernia:a systematic review and guideline from the european pediatric surgeons' association evidence and guideline committee[J].Eur Pediatr Surg,2022,32(3):219-232.
[5] Apfelbaum JL,Hagberg CA,Connis RT,et al.2022 American society of anesthesiologists practice guidelines for management of the difficult airway[J].Anesthesiology,2022,136(1):31-81.
[6] Xie Y,Liang Z,Chen S,et al.Effectiveness of perioperative low-dose esketamine infusion for postoperative pain management in pediatric urological surgery:a prospective clinical trial[J].BMC Anesthesiol,2024,24(1):65.
[7] Obayashi J,Yamoto M,Fukumoto K,et al.The comorbidities of recurrent inguinal hernia in children:a systematic review[J].Pediatr Int,2023,65(1):e15547.
[8] Schmedding A,Alsweed A,Muensterer O,et al.The status of laparoscopic inguinal hernia surgery in children:a nationwide assessment[J].Children (Basel),2022,9(3):348.
[9] Petridou M,Karanikas M,Kaselas C.Laparoscopic vs.laparoscopically assisted pediatric inguinal hernia repair:a systematic review[J].Pediatr Surg Int,2023,39(1):212.
[10] 韩华,李洲,卢通.不同TAPP术治疗巨大腹股沟疝的疗效及对应激反应术后并发症的影响[J].河北医学,2024,30(6):964-969.
[11] Khayatan D,Razavi SM,Arab ZN,et al.Superoxide dismutase:a key target for the neuroprotective effects of curcumin[J].Mol Cell Biochem,2024,479(3):693-705.
[12] Zhao J,Yu C,Lu J,et al.Laparoscopic versus open inguinal hernia repair in children:a systematic review[J].Minim Access Surg,2022,18(1):12-19.