Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2025; 17(4): 100617
Published online Apr 27, 2025. doi: 10.4240/wjgs.v17.i4.100617
Single-incision laparoscopic herniorrhaphy needle treatment for pediatric inguinal hernia: Surgical outcome, postoperative complications, and serum inflammation effects
Xue-Qi Wang, Chi-Huan Kong
Xue-Qi Wang, Chi-Huan Kong, Department of General Surgery, Children's Hospital Capital Institute of Pediatrics, Beijing 100020, China
Author contributions: Wang XQ designed the study; Wang XQ and Kong CH collected and analyzed the data; Wang XQ wrote the manuscript; Wang XQ and Kong CH revised the manuscript; Wang XQ and Kong CH participated in collection of the data; All authors approved the final version of the manuscript.
Supported by Research Unit of Minimally Invasive Pediatric Surgery on Diagnosis and Treatment, Chinese Academy of Medical Sciences, No. 2021RU016.
Institutional review board statement: This study was approved by the Ethic Committee of Children's Hospital Capital Institute of Pediatrics.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chi-Huan Kong, Chief Physician, Department of General Surgery, Children's Hospital Capital Institute of Pediatrics, No. 2 Yabao Road, Chaoyang District, Beijing 100020, China. kongchihua@sohu.com
Received: December 5, 2024
Revised: January 22, 2025
Accepted: February 26, 2025
Published online: April 27, 2025
Processing time: 113 Days and 21.9 Hours
Abstract
BACKGROUND

Laparoscopic surgery, with the advantage of less trauma, has been predominantly performed to treat pediatric inguinal hernia. However, the traditional three-port laparoscopic surgery remains extremely traumatic for children, whereas single-port laparoscopic surgery causes less damage to children than traditional laparoscopy. However, single-port laparoscopic surgery is more challenging; thus, studies on the effect of its application in pediatric inguinal hernia remain relatively limited.

AIM

To analyze the association of single-incision laparoscopic herniorrhaphy needle treatment with surgical outcomes, postoperative complications, and serum inflammation in pediatric inguinal hernia.

METHODS

This retrospective study included 113 pediatric patients with inguinal hernia who underwent surgery at the Children’s Hospital, Capital Institute of Pediatrics, from April 2022 to May 2023. Participants were categorized into the observation group (single-incision laparoscopic herniorrhaphy needle, n = 60) and the control group (two-port laparoscopic surgery, n = 53). Comparative analyses involved surgical duration, intraoperative blood loss, and length of hospital stay. C-reactive protein (CRP) and white blood cell count (WBC) levels were measured preoperatively and 24 hours postoperatively. Postoperative pain was evaluated with the face, legs, activity, cry, and Consolability scale. Further, the incidence of complications, recurrence, and reoperation rates was assessed. Logistic regression was employed to determine independent risk factors related to poor prognosis.

RESULTS

The observation group demonstrated significantly reduced intraoperative blood loss and shorter hospitalization compared to the control group (P < 0.05). Both groups demonstrated increased CRP and WBC levels postoperatively, but the observation group exhibited significantly lower levels (P < 0.05). Further, pain scores at 24 hours postoperatively were significantly lower in the observation group (P < 0.05). Additionally, the observation group experienced fewer adverse events, recurrence rates, and reoperations compared to the control group (P < 0.05). Logistic regression analysis determined increased postoperative stress markers and surgical technique as independent predictors of recurrence (P < 0.05).

CONCLUSION

Single-incision laparoscopic herniorrhaphy needle treatment for pediatric inguinal hernia exhibits significant efficacy, effectively reduces postoperative complications, ensures a more concealed surgical incision, and promotes faster postoperative recovery than conventional two-port laparoscopy. This approach merits wider application.

Keywords: Single-incision laparoscopic herniorrhaphy needle; Pediatric inguinal hernia; Surgical outcome; Postoperative complications; Serum inflammation

Core Tip: Single-port laparoscopic hernia needle treatment of inguinal oblique hernia is less harmful to children and is conducive to their recovery immediately after surgery. A single-port laparoscopic hernia needle exhibits a milder inflammatory state than the two-port laparoscopy, with fewer adverse reactions. Increased postoperative stress indexes and surgical procedures are independent risk factors for recurrence in children.