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ORIGINAL RESEARCH article

Front. Pediatr.
Sec. Pediatric Surgery
Volume 12 - 2024 | doi: 10.3389/fped.2024.1509895

Comparison of Trans-Umbilical Single-Port Laparoscopic Complete Extraperitoneal Closure and Laparoscopic Intracorporeal Closure for Pediatric Inguinal Hernia: A Randomized Controlled Study

Provisionally accepted
Yanyi Li Yanyi Li Zhu Jin Zhu Jin Chengyan Tang Chengyan Tang Yuan Gong Yuan Gong Lu Huang Lu Huang Qing Du Qing Du Xingrong Xia Xingrong Xia Daiwei Zhu Daiwei Zhu Wangkan Zhou Wangkan Zhou Zeping Li Zeping Li Weiao Wang Weiao Wang Yuanmei Liu Yuanmei Liu Zebing Zheng Zebing Zheng *
  • Affiliated Hospital of Zunyi Medical University, Zunyi, China

The final, formatted version of the article will be published soon.

    Background: The purpose of this study was to compare the outcomes of Trans-umbilical single-port laparoscopic complete extraperitoneal closure (LCEC) and laparoscopic intracorporeal closure (LIC) for inguinal hernia by analysis of follow-up data over 5 years. Methods: In this prospective randomized controlled trial, 524 children with inguinal hernia were randomly assigned to undergo LCEC or LIC between August 2016 and December 2017. The primary outcome measures were the success and recurrence rates. The secondary outcome measures were operative time; length of hospital stay; postoperative pain score; and incidence of postoperative complications, including rates of wound infection, stitch abscess, and testicular atrophy.Results: Primary analysis of the 227 patients in the LIC group and 215 patients in the LCEC group revealed that in the LCEC group, the success rate of was significantly higher in LCEC group (96.7% vs. 90.3%, P < .05) and the length of hospital stay was significantly shorter (P < .05) than those of the LIC group. Neither the recurrence rate (P >.05) nor the operative time (P > .05) of the groups significantly differed. The pain scores at postoperative 12 and 24 hours were significantly lower in the LCEC group than in the LIC group (P < .05). The incidence rates of wound infection (0.93% vs.5.7%, P < .05) and stitch abscess (1.4% vs. 7.0%, P <.05) were significantly lower in the LCEC group than in the LIC group. No testicular atrophy occurred in either group.Conclusion: LCEC is associated with better clinical success and fewer postoperative complications for repair of pediatric inguinal hernia compared with LIC.

    Keywords: complete extraperitoneal closure, inguinal hernia, intracorporeal closure, Laparoscopy, Pediatric Surgery

    Received: 11 Oct 2024; Accepted: 03 Dec 2024.

    Copyright: © 2024 Li, Jin, Tang, Gong, Huang, Du, Xia, Zhu, Zhou, Li, Wang, Liu and Zheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zebing Zheng, Affiliated Hospital of Zunyi Medical University, Zunyi, China

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