Clinical observation of laparoscopic hernia repair in incarcerated inguinal hernia
10.3760/cma.j.issn.1008-6706.2017.12.035
- VernacularTitle:腹腔镜疝修补术治疗腹股沟嵌顿疝的疗效观察
- Author:
Chao DENG
;
Yong MA
;
Wanlong CAO
- Keywords:
Hernia,inguinal;
Laparoscopy;
Reconstructive surgical procedures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(12):1884-1887
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of laparoscopic exploration on incarcerated inguinal hernia.Methods 38 patients with incarcerated inguinal hernia were randomly divided into open operation group (19 cases) and laparoscopic group(19 cases) by using the digital table method.The open operation group used Lichtenstein tension-free repair method.The laparoscopic group used the transabdominal preperitoneal(TAPP) repair method.The hospitalization days,operation time,degree of pain,bleeding loss,postoperative time return to normal activities,postoperative complications and the postoperation recurrence of two groups were compared.Results The hospitalization days,operation time,degree of pain,bleeding loss,postoperative time return to normal activities,incidence rate of complications in the laparoscopic group were (5.11±1.29)d,(43.05±8.10)min,(2.79±1.08)points,(20.42±9.69)mL,(14.11±3.81)d,15.79% respectively,which of the open operation group were (6.79±1.80)d,(48.32±6.82)min,(4.21±1.13)points,(28.42±7.99)mL,(18.26±3.77)d,47.37% respectively,there were significant differences between the two groups in terms of above indicators(t=-3.31,-2.17,-3.95,-2.78,-3.38,x2=4.38,all P<0.05).Conclusion TAPP is a safe and effective operation for incarcerated inguinal hernia treatment,with the advantages of minimal invasion and less complications.
