Topical treatment of minor facial burns in pediatric patients

Abstract

Introduction Inguinal hernias have been treated traditionally with conventional methods, but the trends have changed with the introduction of minimal access surgery.The study aims to compare the open technique versus laparoscopic assisted technique of percutaneous closure of the internal inguinal(PIRS).Materials and methods: The study is done at the University Clinic for Pediatric Surgery in Skopje in the period 2016/17. There are analyzed 30 female children aged 1-14 years with clinically diagnosed indirect inguinal hernia.Results: The average duration of the intervention in the experimental or control group was 25,1 ± 6,1 v.s 44,8 ± 6,3 minutes. The length of hospital stay in the two groups is consequently 10,7 ± 2,1 v.s 25,2 ± 3,3 hours. The shortest stay was 8 v.s 24 hours and the longest 17 v.s 26 hours. All children in the experimental group took up a normal position in bed for less than 3 hours compared to the control group in which it accounted for 5 hours. The average length of the mark is 1,9 ± 0,9mm in the test and 24,8 ± 17,4mm in the control group. Analgesia because of pain is given in 3 (20%) children in the test group and on 7 (46,6%) in control group. Easy impressive scar have 8 (53,3%) patients in the control group and no patient in the experimental group. The mark does not disturb the aesthetics in 9(60%) of patients in the experimental group and in 2 (13,3%) in the control group. Conclusion: Laparoscopic assisted technique of percutaneous closure of the internal inguinal ring is minimally invasive method and is totally safe for the treatment of inguinal hernias in children with special advantage for females.