Green Guidewire Combined with Epidural Needle - Saline Separating Minimize Invasiveness and Optimize Outcomes in Single-Port Laparoscopic Treatment for Pediatric Inguinal Hernia

Abstract

Purpose: To investigate the application value, feasibility and safety of modified single-port laparoscopic surgery in the treatment for inguinal hernia in children. Methods: 60 cases of children with indirect inguinal hernia admitted from 2019 to 2022 were divided into control group and observation group, with 30 cases in each group. They underwent traditional open high ligation of hernia sac and modified single-port laparoscopic high ligation of hernia sac, respectively. The operation duration, surgical incision size, intraoperative blood loss, postoperative hospital stay, first ambulation time, hospitalization expenses were compared between the two groups, as well as the incidence of surgical complications in two groups. Results: The surgical incision size, intraoperative blood loss, postoperative hospital stay, and first ambulation time of observation group were less than those of control group. There was no significant difference in operation duration or hospitalization expenses between the two groups. Only 1 case in observation group showed suture knot reaction after surgery, with no incision infection, inguinal hematoma, iatrogenic cryptorchidism, etc. The overall incidence of complications in observation group was lower than that of control group. Conclusion: The modified single-port laparoscopic surgery for inguinal hernia in children has the advantages of minimal invasiveness, enhanced recovery, less complications and recurrence, thus should be recommended in clinical application.