Curative effect of preperitoneal tension -free hernioplasty for inguinal hernia in the treatment of patients with incarcerated hernia and( or) strangulated hernia
10.3760/cma.j.issn.1008-6706.2017.22.028
- VernacularTitle:腹膜前无张力疝修补术治疗腹股沟嵌顿疝和/或绞窄疝的疗效观察
- Author:
Honglin ZHAO
1
Author Information
1. 042500,山西省安泽县中医医院外科
- Keywords:
Hernia;
inguinal;
Surgical procedures;
operative;
Treatment outcome
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(22):3470-3473
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical curative effect of preperitoneal tension-free hernioplasty for inguinal hernia in the treatment of patients with incarcerated hernia and( or) strangulated hernia. Methods 76 patients with incarcerated hernia and( or) strangulated hernia were selected as the research subjects,and they were divided into two groups according to the random number table,with 38 cases in each group. The observation group was treated with tension-free inguinal hernia repair, while the control group was given surgical treatment. The intraoperative blood loss,surgical time and hospital stay were recorded. The postoperative visual pain scores( VAS) and the number of postoperative infection were statistically analyzed. Patients were followed up for 1 month after discharge, and the return to work time, the number of masses in surgical site and the recurrence cases were recorded. Results The intraoperative blood loss[(16. 23 ± 8. 64) mL vs. (28. 19 ± 7. 93) mL],operation time[(57. 13 ± 14. 58) min vs. (74.29±15.01)min],hospitalstay[(4.27±1.87)dvs.(7.09±1.43)d] andpostoperativeinfectionrate(2.6%vs. 28. 9%) in the observation group were shorter (less) than those in the control group,the differences were statisti-cally significant(t=6. 287,5. 055,7. 384,χ2 =9. 896,all P<0. 05). There was no significant difference in postoper-ative24hVASscorebetweenthetwogroups[(7.15±0.59)pointsvs.(7.24±0.49)points,t=0.723,P>0.05], while the postoperative 48h score in the observation group was significantly lower than that in the control group [(4. 28 ± 1. 78)points vs. (6. 19 ± 0. 97)points,t=5. 808,P<0. 05]. 1 month after discharge,the number of masses in surgical site(2 cases vs. 8 cases),the recurrence cases(0 case vs. 4 cases) and the return to work time[(5. 34 ± 1. 36)d vs. (9. 27 ± 1. 54)d]of the observation group were less than those in the control group(χ2 =4. 146,4. 222, t=11. 791,all P<0. 05). Conclusion Preperitoneal tension-free hernioplasty for inguinal hernia has remarkable curative effect in the treatment of incarcerated hernia and( or) inguinal hernia,which is suitable for clinical promotion.
