Difference between conventional and minimally invasive laparoscopic surgery for pediatric hernia

  There are two common surgical procedures for pediatric hernia: a traditional open surgery and a minimally invasive laparoscopic surgery I. Commonalities between the two procedures: Anesthesia: regardless of the child’s age, the surgery needs to be performed under general anesthesia.  Diet: You can eat 4 hours after waking up from anesthesia.  The difference between the two surgeries: 1. Surgery time: traditional open surgery: about 10-20 minutes.  Minimally invasive laparoscopic surgery: about 5-10 minutes.  2, surgical incision: traditional open surgery: the incision is located in the groin area, 2-3cm size, post-operative scars are obvious.  Single-hole laparoscopic minimally invasive surgery: the incision is located in the umbilical fossa, 0.5cm in size, with no scar after surgery.  3.Hospitalization time: traditional open surgery: 1-2 days after surgery.  Minimally invasive laparoscopic surgery: discharged on the same day after surgery.  4.Post-operative complications: Traditional open surgery: poor exposure, dissection of inguinal canal and spermatic cord before finding the hernia sac, separation and cutting of the hernia sac before ligation of the hernia ring, prone to side injuries and post-operative scrotal seroma.  Minimally invasive laparoscopic surgery: the hernia ring can be seen after entering the mirror, and the hernia ring can be ligated directly under direct vision without any tissue separation, which is less prone to side injuries and scrotal seroma.  5.Post-operative pain: Traditional open surgery: large wounds with many tissue separations and obvious post-operative pain, which usually lasts about a week.  Minimally invasive laparoscopic surgery: tiny wounds without tissue separation, mild postoperative pain, and the ability to get out of bed after waking up from anesthesia.  6.Recurrence rate after surgery: Traditional open surgery: high ligation of hernia sac is performed outside the abdominal cavity, which is not easy to achieve the real high ligation and easy to recur.  Minimally invasive laparoscopic surgery: High ligation of the hernia sac is performed inside the abdominal cavity, which can achieve true high ligation and has a very low recurrence rate.  7. There is a bigger difference: traditional open surgery: the hidden hernia on the opposite side cannot be detected, only one side can be seen, and the hernia on the opposite side has to be operated in hospital again after surgery, and two openings are needed for bilateral hernia.  Minimally invasive laparoscopic surgery: both sides can be seen clearly under laparoscopy, and if an invisible hernia appears on the opposite side before surgery (the rupture can be seen from inside the abdominal cavity, but the bag cannot be seen outside for the time being), it can be found under laparoscopy, and no additional incisions can be made to do both sides of the hernia at the same time, avoiding further inpatient surgery.  8. Cost: Traditional open surgery: low cost.  Minimally invasive laparoscopic surgery: higher cost, unilateral hernia is usually more than 4000 yuan (if it is bilateral hernia only a few hundred yuan more surgery fee).  9. Age and weight requirements for surgical anesthesia Traditional open surgery: no special requirements for age and weight Minimally invasive laparoscopic surgery: generally requires more than 1 year old and more than 10 kg in weight.