Comparison of trans-umbilical single-port laparoscopic complete extraperitoneal closure and laparoscopic intracorporeal closure for pediatric inguinal hernia: a randomized controlled study
2024

Comparing Two Surgical Methods for Pediatric Inguinal Hernia Repair

Sample size: 524 publication 10 minutes Evidence: high

Author Information

Author(s): Li Yanyi, Jin Zhu, Tang Chengyan, Gong Yuan, Huang Lu, Du Qing, Xia Xinrong, Zhu Daiwei, Zhou Wankang, Li Zeping, Wang Weiao, Liu Yuanmei, Zheng Zebing

Primary Institution: Department of Pediatric Surgery, Children Hospital of Guizhou Province, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China

Hypothesis

LCEC is superior to LIC for the treatment of pediatric inguinal hernia.

Conclusion

LCEC is associated with better clinical success and fewer postoperative complications for repair of pediatric inguinal hernia compared with LIC.

Supporting Evidence

  • The success rate was significantly higher in the LCEC group (96.7%) compared to the LIC group (90.3%).
  • The length of hospital stay was significantly shorter in the LCEC group.
  • Postoperative pain scores were significantly lower in the LCEC group at 12 and 24 hours.
  • The incidence rates of wound infection and stitch abscess were significantly lower in the LCEC group.

Takeaway

This study looked at two ways to fix a common problem in kids called inguinal hernia. One way worked better and caused less pain.

Methodology

This was a prospective randomized controlled trial with 524 children assigned to either LCEC or LIC.

Potential Biases

Potential bias due to differences in surgeon experience with the two techniques.

Limitations

The study was a single-center RCT and may reflect surgeon experience bias.

Participant Demographics

Children aged 6 months to 13 years, male sex.

Statistical Information

P-Value

0.004

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fped.2024.1509895

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