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Transumbilical single-port laparoscopy combined with improved double hernia needles for pediatric hydrocele / 中华男科学杂志
National Journal of Andrology ; (12): 809-812, 2016.
Article in Chinese | WPRIM | ID: wpr-262290
ABSTRACT
<p><b>Objective</b>To compare the clinical effect of transumbilical single-port laparoscopy combined with improved double hernia needles with that of traditional open surgery in the treatment of hydrocele in children.</p><p><b>METHODS</b>We retrospectively analyzed 35 cases (54 sides) of pediatric hydrocele treated by transumbilical single-port laparoscopy combined with improved double hernia needles (laparoscopy group). We recorded the operation time, intraoperative blood loss, hospital stay, scrotal edema, and postoperative complications and compared them with those of another 46 cases (58 sides) treated by traditional open surgery (open surgery group) during the same period.</p><p><b>RESULTS</b>The laparoscopy group showed a significantly shorter operation time, less intraoperative blood loss, milder scrotal edema, and fewer hospital days than the open surgery group (all P<0.05). However, no statistically significant difference was found in the incidence of postoperative complications between the two groups (P>0.05). Subcutaneous emphysema developed in 2 patients in the laparoscopy group, which disappeared after 1-3 days of oxygen inhalation and other symptomatic treatment, while scrotal hematoma occurred in 1 and incision fat liquefaction in 2 patients in the open surgery group 3 days postoperatively, which healed after debridement suture and daily dressing, respectively. The patients were followed up for 3-6 months, which revealed no late complications in the laparoscopy group but 1 case of unilateral recurrence and 2 cases of offside recurrence in the open surgery group, all cured by laparoscopic internal ring ligation.</p><p><b>CONCLUSIONS</b>Transumbilical single-port laparoscopy combined with improved double hernia needles is superior to traditional open surgery for the treatment of pediatric hydrocele and therefore deserves clinical generalization.</p>
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / Postoperative Period / Recurrence / Scrotum / Subcutaneous Emphysema / General Surgery / Umbilicus / Retrospective Studies / Blood Loss, Surgical / Laparoscopy Type of study: Diagnostic study / Observational study Limits: Child / Female / Humans / Male Language: Chinese Journal: National Journal of Andrology Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Postoperative Complications / Postoperative Period / Recurrence / Scrotum / Subcutaneous Emphysema / General Surgery / Umbilicus / Retrospective Studies / Blood Loss, Surgical / Laparoscopy Type of study: Diagnostic study / Observational study Limits: Child / Female / Humans / Male Language: Chinese Journal: National Journal of Andrology Year: 2016 Type: Article