Effects of single-port laparoscopic extraperitoneal ligation on surgical indexes, intestinal mucosal barrier function and recurrence rate in children with pediatric inguinal hernia

YANG Xingfei; LI Shanshan; LI Zhuo

doi:10.7619/jcmp.20234152

Journal of Clinical Medicine in Practice > 2024 > 28(7): 75-78. > DOI: 10.7619/jcmp.20234152

YANG Xingfei, LI Shanshan, LI Zhuo. Effects of single-port laparoscopic extraperitoneal ligation on surgical indexes, intestinal mucosal barrier function and recurrence rate in children with pediatric inguinal hernia[J]. Journal of Clinical Medicine in Practice, 2024, 28(7): 75-78. DOI: 10.7619/jcmp.20234152

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Effects of single-port laparoscopic extraperitoneal ligation on surgical indexes, intestinal mucosal barrier function and recurrence rate in children with pediatric inguinal hernia

the Third Department of General Surgery, the First Hospital of Handan City in Hebei Province, Handan, Hebei, 056002

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Received Date: December 19, 2023
Revised Date: March 11, 2024
Available Online: April 21, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the effects of single-port laparoscopic extraperitoneal ligation on surgical indexes, intestinal mucosal barrier function and recurrence rate in children with pediatric inguinal hernia.
Methods
A total of 86 children with pediatric inguinal hernia in the hospital from February 2019 to June 2021 were randomly divided into control group (n=43) and study group (n=43). The study group performed single-port laparoscopic extraperitoneal ligation, while the control group received traditional open surgery. The ratio of urinary lactulose to mannitol (L/M) was measured by high-performance liquid chromatography; serum diamine oxidase (DAO) level was detected by enzyme-linked immunosorbent assay; serum D-lactic acid level was detected by enzymatic spectrophotometry; pain was assessed by the Visual Analogue Scale (VAS); surgical indicators, complications and postoperative recurrence rate were compared between the two groups.
Results
Compared with the control group, the study group had significant reduction in operation time, intraoperative blood loss, time to first flatus, and postoperative hospital stay (P < 0.05); in both groups, the VAS score, L/M, DAO level and serum D-lactic acid level decreased significantly after operation, and these indexes after operation in the study group were significantly lower than those in the control group (P < 0.05); the incidence of complications in the study group was 4.65%(2/43), which was significantly lower than 20.93%(9/43) in the control group (P=0.024).
Conclusion
Single-port laparoscopic extraperitoneal ligation is benefit for the treatment of children with pediatric inguinal hernia, which has advantages of fewer bleeding, less pain, fewer complications, faster recovery of intestinal mucosal barrier function, and lower recurrence rate.

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References (17)

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Effects of single-port laparoscopic extraperitoneal ligation on surgical indexes, intestinal mucosal barrier function and recurrence rate in children with pediatric inguinal hernia

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