Transabdominal Preperitoneal Herniorrhaphy versus Tension-Free Hernioplasty for Inguinal Hernia in Adult Patients:Prospective Randomized Controlled Study
- VernacularTitle:腹腔镜经腹腔腹膜前疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的前瞻性随机对照研究
- Author:
Dongdong ZHANG
;
Kai LI
;
Yiping LU
- Publication Type:Journal Article
- Keywords:
Inguinal hernia;
Hernioplasty;
Laparoscope;
Tension-free
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the curative effect of tension-free hernioplasty and transabdominal preperitoneal herniorrhaphy(TAPP)in adult patients with inguinal hernia.Methods A prospective randomized controlled study.A total of 240 patients with inguinal hernia were randomly divided into TAPP group and tension-free hernioplasty group(open group),120 patients in each.Results In both the groups,the surgical treatments were completed.The mean operation time in TAPP group was significantly longer than that in open group [(77?15)min vs(48?9)min,t=18.147,P=0.000],and the average cost for surgery in TAPP group was significant higher than that in open group [(7363?351)yuan vs(4635?242)yuan,t=72.663,P=0.000].However,the patients in TAPP group returned to activity and was discharged earlier than those in the open group [(6?1)h vs(10?2)h,t=-19.385,P=0.000;and(3?1)d vs(5?1)d,t=-15.300,P=0.000;respectively].No significant difference was detected in the severity of postoperative pain,complications,and recurrence rate between the two groups.Conclusion Both TAPP and tension-free hernioplasty are worth being wildly used.
