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首页> 外文期刊>Surgical Endoscopy >Adding iliopubic tract repair to high ligation reduces recurrence risk in pediatric laparoscopic transabdominal inguinal hernia repair
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Adding iliopubic tract repair to high ligation reduces recurrence risk in pediatric laparoscopic transabdominal inguinal hernia repair

机译：将IlioPubic Tract修复添加到高结扎中减少了儿科腹腔镜腹腔内腹股沟疝修复的复发风险

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摘要

Background Many laparoscopic methods are available for treating pediatric inguinal hernias. Recurrence after laparoscopic pediatric inguinal hernia repair (LPIHR) is one of the greatest concerns for surgeons. The present study was performed to evaluate the effects of iliopubic tract repair in LPIHR with respect to the recurrence rate, surgical outcomes, and complications. Methods LPIHR was performed in 3386 pediatric patients aged 1 year. The mean duration from the first operation to reoperation in these six patients was 11.8 months; five patients developed recurrence within 1 year after the initial operation. All patients had a recurrent indirect hernia, and the location of the hernial defects was on the medial side of the previous stitch. The logistic regression indicated that the difference between the two groups affected the recurrence rate. This finding predicted that iliopubic tract repair is associated with a lower recurrence rate than high ligation (odds ratio 0.996, 95% confidence interval 0.994-0.999, p = 0.015). Conclusions This study of transabdominal LPIHR indicates that iliopubic tract repair results in a small but significant decrease in the risk of recurrence.
机译：背景许多腹腔镜方法可用于治疗小儿腹股沟疝。腹腔镜小儿腹股沟疝修补术（LPIHR）后复发是外科医生最关心的问题之一。本研究旨在从复发率、手术结果和并发症方面评估LPIHR中髂腹肌束修复的效果。方法对3386例1岁儿童进行LPIHR检查。6例患者从首次手术到再次手术的平均时间为11.8个月；5例患者在首次手术后1年内复发。所有患者都有复发性斜疝，疝缺损的位置在前一针的内侧。logistic回归分析表明，两组之间的差异影响复发率。这一发现预测髂腹肌束修复术的复发率低于高位结扎术（优势比0.996，95%可信区间0.994-0.999，p=0.015）。结论这项经腹LPIHR研究表明，髂腹股沟修复术后复发风险小但显著降低。

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