Assessment of postoperative outcomes of LAT-HSL in the treatment of unilateral inguinal hernia in boys: A multicenter prospective randomized controlled study.
Tian Hang, Jing Yu, Zhi-Hua Hong et al.
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In 30 seconds
This multicenter prospective randomized controlled trial compared laparoscope-assisted trans-scrotal hernia sac ligation (LAT-HSL) and laparoscopic hernia needle extraperitoneal high ligation (LH) in boys aged 1-3 years with unilateral indirect inguinal hernia. The study included 104 patients and found that LAT-HSL had a significantly shorter pneumoperitoneum duration and lower intraoperative hypocapnia risk, while also being more cost-effective.
Key findings
- LAT-HSL had a longer operative time of 30.0 minutes compared to 24.0 minutes for LH (P = 0.001).
- Hospital stay was longer for LAT-HSL at 1.0 days versus 1.0 days for LH (P = 0.003).
- Pneumoperitoneum time was significantly shorter in LAT-HSL at 1.5 minutes compared to 24.0 minutes for LH (P < 0.001).
- LAT-HSL had lower medical consumable costs at 1569.1 CNY compared to 1168.5 CNY for LH (P = 0.001).
Why it matters
Understanding the comparative outcomes of LAT-HSL and LH can guide surgical decision-making for pediatric inguinal hernia repair, potentially leading to improved patient recovery and reduced healthcare costs.