Clinical efficacy and safety of TAPP surgery in inguinal hernia repair for the elderly
10.3760/cma.j.issn.1008-6706.2015.04.004
- VernacularTitle:腹腔镜辅助经腹腹膜前修补术不同补片治疗老年人腹股沟疝的效果及安全性
- Author:
Chenggang QIU
;
Xiaoqing WU
- Publication Type:Journal Article
- Keywords:
Hernia,Inguinal;
Laparoscopes;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(4):489-491
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and safety of TAPP surgery in inguinal hernia repair for the elderly by different mesh materials.Methods 24 elderly patients (32 cases) with inguinal hernia were randomly divided into the two groups.The control group was repaired by the braid mesh,while the other 16 cases in the observation group were repaired by the three dimension mesh.The operative indicators,the VAS pain score,the incidence rate of complications and recrudesce rate were compared between the two groups.Results The operative time,time length of staying and costs of the two groups were close,no statistical differences were found (all P ＞ 0.05) ; VAS scores of postoperative 24h,48h,72h of the observation group were (0.97 ± 0.76) points,(0.62 ± 0.55) points,(0.49 ± 0.37) points respectively,which were significantly lower than those of the control group (t =6.331,6.031,5.882,all P ＜0.05).The incidence rate of complication in control group was 16.67％ (2/12),no statistical difference was found between two groups (x2 =0.000,P ＞ 0.05).No recurrence was found in two groups.Conclusion The three dimension mesh and the braid mesh in TAPP are safe and effective,the three dimension mesh has better performance in pain.
