Analysis of the efficacy of high hernia sac ligation in adolescent indirect hernia

Abstract

Abstract Objective To evaluate the efficacy of high hernia sac ligation in adolescent indirect hernia. Methods The data of adolescent patients underwent high hernia sac ligation in the The First People's Hospital of Foshan,China from January 2012 to December 2019 were analyzed retrospectively, mainly collecting their age, gender, weight, surgical method, the hernia ring diameter, operation time, postoperative recurrence rate and postoperative complications. Results A total of 71 patients were enrolled, including 62 males (87.32%) and 9 females (12.68%),all patients aged 13–18 years old (mean14.90 ± 1.57years), weighing 28-92kg (mean 53.08 ± 10.53kg), 70patients underwent laparoscopic surgery except 2 with irreducible hernias converted to laparotomy,1 patients underwent open hernia sac high ligation.the hernia ring diameter: 0.5-3cm (mean 1.39 ± 0.49cm), and the diameter of the hernia ring ≤ 2cm in 69 cases (97.18%),The operative length: 12-105min (average 25.45 ± 13.19min), There were 38(53.5%) right-sided hernias, 32 (45.1%) leftsided hernias, 1 (1.4%) performed simultaneous bilaterally.There were 68 (95.8%)reducible hernia,2(2.8%)irreducible hernias ,1(1.4%)incarcerated hernia,Hospital stay :1–5 days (mean 2.37 ± 1.04 days), Follow-up 24-119months (mean 73.56 ± 28.56months), no recurrence, one case of incision infection occured, A second operation was performed 6 months after the operation,4(5.6%)patients had complaints of intermittent pain around the ligation incision site mostly during exerciseIn . Conclusion High hernia sac ligation is feasible for treat indirect hernia with a diameter of the hernia ring ≤ 2cm.