Clinical efficacy and influencing factors of postoperative recurrence of inguinal hernia in elderly male patients treated with laparoscopic transabdominal anterior peritoneal hernia repair
10.3969/j.issn.1005-6483.20231392
- VernacularTitle:腹腔镜经腹腹膜前疝修补术治疗老年男性病人腹股沟疝的临床效果及术后复发影响因素分析
- Author:
Laizhi YANG
1
;
Benhong XIANG
;
Qiang WU
;
Lei WANG
;
Hao WU
;
Yin FANG
Author Information
1. 241000 安徽省芜湖市第一人民医院急诊外科
- Keywords:
male;
elderly;
inguinal hernia;
laparoscopic transabdominal anterior peritoneal hernia repair;
recurrence;
influencing factor
- From:
Journal of Clinical Surgery
2024;32(11):1219-1221
- CountryChina
- Language:Chinese
-
Abstract:
Objective The purpose of this study is to explore the clinical efficacy of laparoscopic transabdominal anterior peritoneal hernia repair(TAPP)in the treatment of inguinal hernia in elderly male patients,and to analyze the factors influencing postoperative recurrence.Methods A retrospective analysis was conducted on the clinical data of 93 elderly male patients admitted to our hospital for TAPP from January 2020 to June 2023.They were divided into a recurrence group and a non-recurrence group based on postoperative recurrence.Risk factors for postoperative recurrence of TAPP were analyzed through univariate analysis and logistic regression analysis.Results The proportion of hernia sac diameter≥3 cm,lower abdominal surgery history,severe hernia ring adhesion and surgery time ≥60 min in the recurrent group were significantly higher than those in the non-recurrence group(P＜0.05).Multivariate logistic analysis showed that hernia sac diameter≥3 cm,history of lower abdominal surgery,and severe hernia ring adhesion were independent risk factors for postoperative recurrence of TAPP(P＜0.05).Conclusion TAPP is a safe and reliable treatment for inguinal hernia in elderly male patients.The diameter of the hernia sac≥3 cm,a history of lower abdominal surgery,and severe hernia ring adhesion may increase the risk of postoperative recurrence in elderly male patients with TAPP.
