Clinical effects of laparoscopic treatment of unilateral inguinal indirect hernia in children with occult patent processus vaginalis and nano-silver antibacterial dressing in postoperative wound recovery

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.