Related Experiment Video
Updated: Sep 12, 2025
Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Effect of Postural Care on Postoperative FLACC Score and Incision Recovery in Children Undergoing High Hernia Sac
Hongling Yu1, Qin Bai2, Ling Yang3
1Department of Pediatric Respiratory Infection Endocrinology, Xiangyang Central Hospital, 441000 Xiangyang, Hubei, China.
Insights
Postural nursing significantly reduces postoperative pain and improves incision recovery in children after high hernia sac ligation. This method offers better outcomes than routine care for pediatric inguinal hernia treatment.
Area of Science:
- Pediatric Surgery
- Postoperative Care
- Pain Management
Background:
- Inguinal hernia is common in children.
- High hernia sac ligation is an effective treatment.
- Postoperative recovery and pain management are crucial.
Purpose of the Study:
- To evaluate the impact of postural nursing on pain and incision healing.
- To compare postural nursing with routine nursing in pediatric patients.
Main Methods:
- A comparative study of 207 pediatric patients undergoing laparoscopic high hernia sac ligation.
- Patients were divided into observation (postural nursing) and control (routine nursing) groups.
- Face, Legs, Activity, Cry, Consolability (FLACC) scores and incision recovery were assessed at 4, 12, and 24 hours postoperatively.
Main Results:
- Postural nursing group showed significantly lower FLACC scores at 12 and 24 hours postoperatively compared to the control group.
- The observation group exhibited improved postoperative recovery indexes.
- Lower incidence of surgical incision complications was observed in the postural nursing group.
Conclusions:
- Postural nursing is effective in managing postoperative pain.
- Positional care enhances surgical incision recovery in pediatric patients.
- This nursing strategy improves outcomes for children undergoing high hernia sac ligation.
Objective:
To investigate the effect of postural nursing on the postoperative Face, Legs, Activity, Cry, Consolability (FLACC) scores and incision recovery of children undergoing high hernia sac ligation, which is an effective method for the treatment of inguinal hernia in children.
Methods:
Clinical data were collected from paediatric patients who underwent laparoscopic high hernia sac ligation during the observation period in our hospital. According to different postoperative nursing methods, the children were divided into an observation group (postoperative position nursing) and a control group (postoperative routine nursing). The FLACC scores of the two groups of paediatric patients were obtained at 4, 12 and 24 h postoperatively. Data on the recovery time of relevant functions and surgical incision healing status for the two groups of paediatric patients were collected during the postoperative care period.
Results:
A total of 207 paediatric patients' clinical data were collected and divided into an observation group (n = 103) and a control group (n = 104). The results of repeated measures analysis of variance (ANOVA) indicated a significant interaction effect between measurement time and group on the FLACC scores (p < 0.001). Further simple effect analysis revealed no statistically significant difference in FLACC scores between the two groups at time T0 (p > 0.05). However, at time points T1 and T2, the FLACC scores in the observation group were significantly lower than those in the control group (p < 0.001). The postoperative recovery indexes of the observation group were better than those of the control group (p < 0.001), and the total incidence of postoperative surgical incision complications was lower than that of the control group (p < 0.05).
Conclusions:
Positional care has a significant effect on postoperative pain and incision recovery in children undergoing hernia sac ligation.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:22Aneurysm IV: Nursing Management
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...