Umbilical double-port laparoscopy combined with extraperitoneal water injection for the treatment of giant inguinal hernias in infants and young children

• Published in: BMC surgery Vol. 24; no. 1; pp. 244 - 7
• Main Authors: Xiao, Zhixiang, Wu, Lijing, Li, Jun, He, Shaohua, Li, Lizhi, Kang, Yingquan
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 31.08.2024; BioMed Central; BMC
• Subjects: Abdomen; Abdominal surgery; Analysis; Care and treatment; Child, Preschool; Children; Double-port laparoscopic surgery; Extraperitoneal water injection method; Female; General anesthesia; Giant indirect inguinal hernia; Hernia; Hernia, Inguinal - surgery; Hernias; Herniorrhaphy - methods; Hospitals; Humans; Infant; Infants; Infants and young children; Injection; Injections; Laparoscopic surgery; Laparoscopy; Laparoscopy - methods; Length of Stay - statistics & numerical data; Male; Normal distribution; Operative Time; Pain; Pediatrics; Retrospective Studies; Skin; Statistical analysis; Surgery; Trauma; Treatment Outcome; Umbilicus - surgery; Water - administration & dosage; Water injection; Infants and young children; Extraperitoneal water injection method; Double-port laparoscopic surgery; Giant indirect inguinal hernia
• DOI: 10.1186/s12893-024-02542-9
• ISSN: 1471-2482

Exploration of the efficacy of treating large indirect inguinal hernias in infants and young children using umbilical double-port laparoscopy combined with extraperitoneal water injection. A retrospective analysis was conducted on 165 cases of primary unilateral large indirect inguinal hernias in infants and young children treated at our hospital from May 2018 to May 2023. Among them, 90 cases underwent umbilical double-port laparoscopic surgery combined with extraperitoneal water injection and high ligation of the hernia sac (Double-Port Group), and another 75 cases underwent conventional three-port laparoscopic high ligation of the hernia sac (Three-Port Group). The two groups were compared in terms of operation time, postoperative pain scores at 24 hours, hospital stay, incision complications, and recurrence within one year after surgery. Both groups successfully completed the surgery without any intraoperative complications. The pain score at 24 hours postoperatively was lower in the Double-Port Group compared to the Three-Port Group, and there was no statistically significant difference in operation time, hospital stay, and incision complications between the two groups (P > 0.05). Both groups were followed up for one year postoperatively; the Three-Port Group had one recurrence that was cured after further treatment, while there were no recurrences in the Double-Port Group. Umbilical double-port laparoscopy combined with extraperitoneal water injection for the treatment of large indirect inguinal hernias in infants and young children has the advantages of being safe and reliable, with concealed and aesthetic incisions, and rapid recovery.