Abstract:

Objective To investigate the effect of high ligation of hernia sac for oblique inguinal hernia and three-dimensional laparoscopic water injection hernia needle. Method Sixty children with indirect inguinal hernia admitted to the People's Hospital of Lianshui County, Huai'an City from January 2018 to April 2022 were randomly divided into a control group (30 cases treated with conventional laparoscopy) and an observation group (30 cases treated with 3D laparoscopy) using a digital table method. The surgical related indicators, C reactive protein (CRP), interleukin(IL)-10, and other inflammatory indicators before and after treatment in the two groups were compared, The incidence of complications in the two groups of patients was statistically analyzed and compared. Result The intraoperative diagnostic time and surgical time in the observation group were shorter than those in the control group (P ＜ 0.05). There was no significant difference between the two groups in terms of hospitalization expenses and time, as well as in the levels of CRP and IL-10 after surgery (P ＞ 0.05),however, the levels of CRP and IL-10 in both groups of patients after surgery were significantly improved compared to those before surgery (P ＜ 0.05). There was no significant difference in the incidence of complications between the two groups (P ＞ 0.05). Conclusion High ligation with a hernia needle assisted by three-dimensional laparoscopy in the treatment of children with indirect inguinal hernia is simple and minimally invasive, and does not increase hospital stay.

Key words: Inguinal oblique hernia, Children, 3-dimensional laparoscopic, Hernia needle, High ligation