To investigate the safety and feasibility of single-port laparoscopic surgery based on ERAS principle for children with indirect inguinal hernia.

From October 2019 to January 2021, 100 children with indirect inguinal hernia received the surgery were randomly divided into the traditional group and the ERAS group. Patients in the traditional group received the open surgery of high ligation of the hernial sac under the general anesthesia with conventional ketamine; while patients in the ERAS group underwent single-port laparoscopic surgery of high ligation of the hernial sac under the general anesthesia with the trachea cannula. Statistical analysis were performed by using SPSS22.0 software. The perioperative indicators were expressed as (±s), and were examined by using independent t test. Postoperative complications were analyzed by using χ² test. The satisfaction survey was analyzed by using the rank-sum test. A P value of <0.05 was considered as statistically significant difference.

The intraoperative blood loss, time of surgery, and hospital stay in the ERAS group were significantly less than those in the traditional group respectively (P<0.05). The complaint of postoperative pain of 10.0%(5/50) in the ERAS group was significantly lower than 62.0%(31/50)in the traditional group (P<0.05). The incidence of nausea or vomiting of 20.0% in the ERAS group after surgery was much lower than 46.0% in the traditional group (P<0.05). The satisfaction of 94.0%(47/50) in the ERAS group was significantly more than 50.0% (25/50) in the traditional group, with no case of dissatisfaction in the ERAS group.

Based on ERAS principle, single-port laparoscopic surgery for children with indirect inguinal hernia is characterized as minimally-invasive and rapid recovery, furthermore with improved utilization of hospital resource. Therefore, it has a great clinical application prospect.