ZHONG Hong ji,WANG Furan,CHEN Yi, et al. Single-port laparoscopic-assisted percutaneous extraperitoneal closure for indirect inguinal hernia: a prospective clinical controlled study[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2014, 44(4): 282-285.
Abstract：Objective: To introduce a technique of single-port laparoscopic-assisted percutaneous extraperitoneal closure (SLPEC) using a common epidural needle, and compared with the double-port laparoscopic-assisted percutaneous extraperitoneal closure (DLPEC) prospectively to evaluate the effectiveness and safety for indirect inguinal hernia in children. Methods: Between September 2012 and February 2013, there were 30 consecutive children with indirect inguinal hernia treated with the SLPEC and DLPEC techniques, respectively. Sliding hernia, direct hernia or femoral hernia found during operation was excluded. Data was collected prospectively and analyzed using the SPSS 17.0 software. Results: Two children with sliding hernia were excluded, and there were 28 and 30 children finally included in the SLPEC and DLPEC group, respectively. There was no significant difference of the baseline characteristics between the two groups. The SLPEC group had a slightly longer operative time and a slightly higher conversion rate than that the DLPEC group, although only the difference of the bilateral operative time was significant. There was no significant difference of the time to resume feeding and the time to resume full activity, no need for acetaminophen, and no postoperative complication. The score of incision scars was significantly lower for the SLPEC group than those for the DLPEC group. Conclusion: SLPEC is proved to be a safe and effective surgical procedure for indirect inguinal hernia in children. Compared to DLPEC, it provided a better cosmesis of incision, while the operation diffculty increased.
