Inguinal hernia is a common disease in children. Treatment of this disease by laparoscopic high ligation of the hernia sac has been accepted by domestic and foreign scholars. Since laparoscopic inguinal hernia was introduced in 1990,it has now become the most commonly performed hernia repair in children. The conventional approach this is done with2small trocars to 1trocar . however the wound complications of infection and pain and the recurrent rate have not been resolved. The aim of the study was to described a new way of extra-peritoneal high ligation of hernia sac. This method combines the single-port laparoscopic could eliminated rate of wound complications and recurrence in inguinal hernia repair in children. The investigators hoped that this study will prove that the extra-peritoneal single-port laparoscopic repair is at least a s effective and efficient as the conventional technique in the cure of inguinal hernia and may results in lower recurrence and reduce incidence of wound complications.
Study Type
OBSERVATIONAL
Enrollment
300
Affiliated hospital of ZunYi medical college
Zunyi, Guizhou, China
RECRUITINGconversion to intraabdominal high ligation of inguinal hernia
this study is to determine whether extra-peritoneal single-port laparoscopic repair for inguinal hernia in children is superior to conventional repair approaches.
Time frame: during operation
operating time
this assess the time taken to perform the operation and is defined as time from initial skin to complete wound closure
Time frame: during operation
length of hospital time
this assess how long patient stays in hospital
Time frame: day procedure or overnight stay
post operative pain scores
this utlizes the CHEOPS pain score4-7,day 1 and day 7 after surgy
Time frame: preop, day one and day 7 postop
recurrence of inguinal herina
patients will be assessed at 1 week,6 week and one year to detect presence of recurrence of inguinal herina
Time frame: 1 year
post-operation complications including wound infection,stitch abscess, spermatic cord injuries,testicular atrophy.
patients will be seen at 1 week,6 week to assess for any peri-operative complications associated with inguinal herina surgery as enumerated above.
Time frame: 6 weeks
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