Comparative study of transabdominal preperitoneal hernia repair and tension free repair of inguinal hernia under regional anesthesia
10.3760/cma.j.issn.1673-4203.2016.09.011
- VernacularTitle:经腹腹膜前疝修补术与局麻下腹股沟疝无张力修补术的对比研究
- Author:
Feng GAO
;
Mingyi ZHAO
;
Tao CHEN
;
Jianping SHAO
;
Shizhi SU
;
Chunqing LIU
- Publication Type:Journal Article
- Keywords:
Hernia inguinal;
Laparoscopes;
Herniorrhaphy
- From:
International Journal of Surgery
2016;43(9):614-617
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the difference between laparoscopic transabdominal preperitoneal hernia repair (TAPP) and open preperitoneal hernia repair for the treatment of inguinal hernia under local anesthesia.Methods A total of 64 cases with inguinal hernia underwent hernia repair in Beijing Daxing District Hospital of Capital Medical University from January 2014 to January 2015 were retrospectively analyzed.Thirty-four cases in test group were applied with TAPP and used D(9 * 13) mesh to repair for inguinal hernia,and 30 cases in traditional group with open preperitoneal hernia repair which used D10 mesh to repair for inguinal hernia.Results All operations were successfully completed.There was statistically significant difference in operation time(P =0.000),postoperative activity time(P =0.000),postoperative hospitalization time (P =0.003) and pass flatus time (P =0.000) between these two groups.There was no statistically significant difference in wound seroma(P =0.216),hematoma (P =1.000),analgesics (P =0.090) and recurrence rate of the first year (P =1.000).Conclusions Both TAPP and tension free repair of inguinal hernia under regional anesthesia are safe and effective methods for the treatment of inguinal hernia,which has its advantages.Surgeon should choose the suitable procedure according to patient's condition reasonably.
