Clinical Course Of Inguinal Hernia In Boys According To Age And Method Of Surgery

Abstract

The aim of the work: to study the clinical course and postoperative complications of inguinal hernia in boys according to age and method of surgery.
Materials and Methods. The analysis of the results of postoperative rehabilitation 98 boys with inguinal hernias (in age from 1 month to 12 years) surgically operated on traditional or laparoscopy techniques. All the patients were divided into 2 groups according to operative method. Patients of the group I (N = 30, mean age (1.5±0.15) years) underwent laparoscopic intervention according to the method of PIRS. In group II (N = 68, mean age (4.5±0.32) we performed surgical intervention according to the Duhamel’s traditional method. The criteria for comparison were used as clinical signs prior to surgery and postoperative complications in 1.7 days and 6 months follow-up.
Results and Discussion. Intraoperative complications occurred with either laparoscopic or traditional methods during surgical treatment of inguinal hernia in boys in all age groups. In I, II and III age groups, pain was significantly more pronounced in the subgroup of children operated according to traditional methods than children who underwent surgery by the PIRS method, which required the introduction of additional non-narcotic analgesics on the first day postoperative observation. Motor activity significantly advancing faster (up to 6 hours) in all age groups operated by the PIRS method, than by the Duhamel’s method. Motor activity significantly advancing faster (up to 6 hours) in all age groups surgically operated by the PIRS method, than by the Duhamel’s method. Surgical intervention by the PIRS method helps to reduce terms of local and general postoperative rehabilitation in boys.