In order to solve the stress problem in laparoscopic
hiatal hernia repair of children, improve surgical safety, and reduce surgical risk, this study compared the perioperative changes of
epinephrine,
norepinephrine,
IL-6,
IL-10, and hemodynamics in children undergoing laparoscopic surgery under intravenous
general anesthesia and
general anesthesia combined with an epidural block. In this study, 40 children aged 1-3 years who planned to undergo laparoscopic ortopexy and those who planned to undergo laparoscopic high
ligation of
hernia sac, aged 23.84 1.6 months and weighed 14.9 1.1 kg, were randomly divided into
general anesthesia combined with the epidural block group (group A) and a total
intravenous anesthesia group (group B), with 20 subjects in each group. The results are as follows: There were no differences in age, gender,
body weight,
anesthesia time,
pneumoperitoneum duration, and functional time between the two groups.
Cytokines: Compared with T0, the levels of
IL-6 in T2, T3, T4, and T5 groups were significantly increased (P < 0.01).
IL-10 levels: T2, T3, T4, and T5 groups were further increased, and the difference was statistically significant compared with T0 (P < 0.01). There was no difference between groups (P > 0.05). The recovery time in group B was shorter than that in group A (P < 0.01), and the total amount of
propofol and
fentanyl in group B was less than that in group A (P < 0.01). Through research on
intravenous anesthesia treatment, it has been proved that total
intravenous anesthesia can relieve perioperative pressure, reduce
intravenous injection, and reduce the recovery time of children. However, its effect on
cytokines is not obvious, so
intravenous anesthesia is the most appropriate
anesthesia mode in laparoscopic
hiatal hernia repair surgery, which has practical significance.