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Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery

This paper aims to analyze the recurrence of indirect inguinal hernia in children after laparoscopic surgery and investigate the influencing factors that may lead to recurrence so as to guide the prevention and treatment of postoperative recurrence of this kind of disease in the future. The data of...

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Autores principales: Cao, Yuan, Ding, Zhaozheng, Qiang, Hongjia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769813/
https://www.ncbi.nlm.nih.gov/pubmed/35070233
http://dx.doi.org/10.1155/2022/2978745
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author Cao, Yuan
Ding, Zhaozheng
Qiang, Hongjia
author_facet Cao, Yuan
Ding, Zhaozheng
Qiang, Hongjia
author_sort Cao, Yuan
collection PubMed
description This paper aims to analyze the recurrence of indirect inguinal hernia in children after laparoscopic surgery and investigate the influencing factors that may lead to recurrence so as to guide the prevention and treatment of postoperative recurrence of this kind of disease in the future. The data of 260 children with indirect inguinal hernia treated by laparoscopic surgery and followed up in our hospital from July 2019 to July 2021 were selected. A self-designed questionnaire was used to collect the basic data. The recurrence was analyzed, and the influencing factors of recurrence were analyzed by univariate analysis and multivariate analysis. Among 400 children after indirect inguinal hernia laparoscopic surgery, an occurrence was observed in 15 children, and the recurrence rate was 5.77%. Univariate analysis showed that the age and course of disease were not correlated with recurrence after indirect inguinal hernia laparoscopic surgery (P > 0.05). Being male, bilateral lesions, exact high ligation, loose hernia back wall peritoneum, deciduous ligature, incorrect ligation of the fascia of musculus obliquus externus abdominis, large inguinal hernia, circumferential wiring, and too early off-bed activity were the influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery (P < 0.05). Logistic multivariate regression analysis showed that being male, bilateral lesions, loose hernia back wall peritoneum, deciduous ligature, incorrect ligation of the fascia of musculus obliquus externus abdominis, large inguinal hernia, and too early off-bed activity were the influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery (OR>1, P < 0.05). Exact high ligation and circumferential wiring were protective factors of recurrence after indirect inguinal hernia laparoscopic surgery (OR>1, P < 0.05). After indirect inguinal hernia laparoscopic surgery, recurrences were affected by many factors, such as gender, site of pathological changes, and loose hernia back wall peritoneum. For these children with risk factors, reasonable intervention should be taken to reduce recurrence; exact high ligation and circumferential wiring are the protective factors. If permitted, the children meeting related indications can be treated by high ligation or circumferential wiring to reduce the risk of recurrence after indirect inguinal hernia laparoscopic surgery.
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spelling pubmed-87698132022-01-20 Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery Cao, Yuan Ding, Zhaozheng Qiang, Hongjia J Healthc Eng Research Article This paper aims to analyze the recurrence of indirect inguinal hernia in children after laparoscopic surgery and investigate the influencing factors that may lead to recurrence so as to guide the prevention and treatment of postoperative recurrence of this kind of disease in the future. The data of 260 children with indirect inguinal hernia treated by laparoscopic surgery and followed up in our hospital from July 2019 to July 2021 were selected. A self-designed questionnaire was used to collect the basic data. The recurrence was analyzed, and the influencing factors of recurrence were analyzed by univariate analysis and multivariate analysis. Among 400 children after indirect inguinal hernia laparoscopic surgery, an occurrence was observed in 15 children, and the recurrence rate was 5.77%. Univariate analysis showed that the age and course of disease were not correlated with recurrence after indirect inguinal hernia laparoscopic surgery (P > 0.05). Being male, bilateral lesions, exact high ligation, loose hernia back wall peritoneum, deciduous ligature, incorrect ligation of the fascia of musculus obliquus externus abdominis, large inguinal hernia, circumferential wiring, and too early off-bed activity were the influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery (P < 0.05). Logistic multivariate regression analysis showed that being male, bilateral lesions, loose hernia back wall peritoneum, deciduous ligature, incorrect ligation of the fascia of musculus obliquus externus abdominis, large inguinal hernia, and too early off-bed activity were the influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery (OR>1, P < 0.05). Exact high ligation and circumferential wiring were protective factors of recurrence after indirect inguinal hernia laparoscopic surgery (OR>1, P < 0.05). After indirect inguinal hernia laparoscopic surgery, recurrences were affected by many factors, such as gender, site of pathological changes, and loose hernia back wall peritoneum. For these children with risk factors, reasonable intervention should be taken to reduce recurrence; exact high ligation and circumferential wiring are the protective factors. If permitted, the children meeting related indications can be treated by high ligation or circumferential wiring to reduce the risk of recurrence after indirect inguinal hernia laparoscopic surgery. Hindawi 2022-01-12 /pmc/articles/PMC8769813/ /pubmed/35070233 http://dx.doi.org/10.1155/2022/2978745 Text en Copyright © 2022 Yuan Cao et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Cao, Yuan
Ding, Zhaozheng
Qiang, Hongjia
Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery
title Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery
title_full Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery
title_fullStr Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery
title_full_unstemmed Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery
title_short Analysis on Influencing Factors of Recurrence after Indirect Inguinal Hernia Laparoscopic Surgery
title_sort analysis on influencing factors of recurrence after indirect inguinal hernia laparoscopic surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769813/
https://www.ncbi.nlm.nih.gov/pubmed/35070233
http://dx.doi.org/10.1155/2022/2978745
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