Affiliation:
1. Department of Pediatric Surgery, Tongzhou Maternal & Child Health Hospital of Beijing, Beijing, 101101, PR China
Abstract
Currently, laparoscopic high ligation of the hernia sac (LHLOHS) is the first choice for treating inguinal indirect hernia in children (IIHIC) with intraoperative occult patent processus vaginalis. However, postoperative incision infection and delayed healing significantly affect surgical
efficacy and recovery prognosis. In this study, 214 children with indirect inguinal hernia were analyzed and assigned to two groups according to the surgical methods used; a traditional group (n = 68) and a laparoscopic group (n = 136). The traditional group underwent traditional
high ligation of the hernia sac, while the laparoscopic group underwent LHLOHS. After surgery, the laparoscopic group was randomly assigned to Vaseline dressing (VD) and nano-silver antibacterial dressing (NSAD) groups (n = 68, each). Compared with the traditional group, the laparoscopic
group showed improved surgical indicators, shorter hospital stays, higher recovery rates, lower complication incidence and similar recurrence rates. Compared with the VD group, the wound healing and recovery rates of the NSAD group were higher while complication incidence was lower, wound
healing time become shorter, and procalcitonin and C-reactive protein levels normal before and after the operation (P <0.05). The results indicated that LHLOHS and NSAD had significantly positive effects on postoperative wound recovery and a high clinical application value.
Publisher
American Scientific Publishers
Subject
General Materials Science