Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study.
Laparoscopic Hernia Repair versus Open Herniotomy in Children: A Controlled Randomized Study.
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DOI：
10.1155/2012/484135
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发表时间：
2012
影响因子：
1.8
通讯作者：
Shouker MA
中科院分区：
文献类型：
--
作者：
Shalaby R;Ibrahem R;Shahin M;Yehya A;Abdalrazek M;Alsayaad I;Shouker MA
背景腹腔镜疝修补术在婴儿和儿童仍有争议。本研究的目的是比较腹腔镜辅助疝修补术与开放式疝切开术在手术时间、住院时间、术后鞘膜积液形成、复发率、医源性睾丸上升、睾丸萎缩和美容效果方面的差异。患者和方法。将250例腹股沟疝患者随机分为两组。A组行腹腔镜腹股沟疝修补术。B组行开放式疝切开术。两组的人口统计学数据相匹配。在术前、术后早期和晚期进行睾丸体积评估和多普勒评估。结果所有病例均成功完成，未发生转换。A组单侧疝、肥胖儿童单侧疝和双侧疝的平均手术时间分别为7.6 ± 3.5分钟、9.2 ± 4.6分钟和11.4 ± 2.7分钟。A组复发率为0.8%，B组复发率为2.4%。结论RN腹腔镜疝修补术是一种有效的疝修补方法。手术时间明显缩短，复发率低，无睾丸萎缩，无医源性睾丸隆起，美容效果好。
Background. Laparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic assisted hernia repair versus open herniotomy as regards operative time, hospital stay, postoperative hydrocele formation, recurrence rate, iatrogenic ascent of the testis, testicular atrophy, and cosmetic results. Patients and Methods. Two hundred and fifty patients with inguinal hernia were randomized into two equal groups. Group A was subjected to laparoscopic inguinal hernia repair. Group B was subjected to open herniotomy. The demographic data were matched between both groups. Assessment of the testicular volume and duplex assessment in preoperative, early, and late postoperative periods were done. Results. All cases were completed successfully without conversion. The mean operative time for group A was 7.6 ± 3.5 minutes, 9.2 ± 4.6 minutes and 11.4 ± 2.7 minutes, for unilateral hernia, unilateral hernia in obese child, and bilateral hernia, respectively. The recurrence rate was 0.8% in group A, whereas in group B the recurrence rate was 2.4%. Conclusion. Laparoscopic hernia repair by RN is an effective line of hernia repair. It resulted in marked reduction of operative time, low rate of recurrence, no testicular atrophy, no iatrogenic ascent of the testis, and excellent cosmetic results.