Comparative analysis of transabdominal preperitoneal prosthetic and tension-free hernioplasty in treatment of incarcerated hernia
10.3760/cma.j.issn.1673-4904.2014.23.013
- VernacularTitle:经腹腔途径腹膜前补片置入术和无张力疝修补术治疗嵌顿性腹股沟疝的对照分析
- Author:
Hanpeng DU
;
Xiangyang NIE
;
Yongzhong HE
;
Mingjian WU
- Publication Type:Journal Article
- Keywords:
Hernia,inguinal;
Transabdominal preperitoneal prosthetic;
Tension-free hernioplasty
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(23):36-38
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the security and validity of transabdominal preperitoneal prosthetic (TAPP) in treatment of incarcerated hernia.Methods One hundred and twenty-four patients with incarcerated hernia were divided into 2 groups by random pair method:observation group with treatment of laparoscopic reposition and TAPP (56 cases) and control group with treatment of open reduction and tension-free hernioplasty (68 cases).The operative time,hospital stay,bed time,hospital costs,recurrence rate and complication were compared between the 2 groups.Results All patients in observation group were received laparoscopic surgery successfully.The operation time,hospital stay,bed time in observation group were significandy shorter than those in control group [(37.52 ± 7.78) min vs.(44.23 ± 11.32) min,(4.53 ± 0.89) d vs.(6.85 ± 2.03) d,(9.30 ± 2.65) h vs.(12.63 ± 3.97) h],there were statistical differences (P ＜0.05).The hospital costs in observation group was significandy higher than that in control group [(9 324 ± 599) yuan vs.(7 203 ± 507) yuan],there was statistical difference (P ＜ 0.05).There was no statistical difference in complication rate between the 2 groups (P ＞ 0.05).Follow-up 1 year,there was no recurrence patient in observation group and 1 patient was recurrence in control group,there was no statistical difference between the 2 groups (P ＞ 0.05).Conclusions TAPP is safe and effective with advantages of mini-invasion,quicker recovery but more hospital costs in treatment of incarcerated hernia.The recurrence rate of TAPP is similar to tension-free hernioplasty.
