Clinical effect of mesh plug tension-free hernia repair on inguinal hernia and its impact on microenviron-ment related indicators
10.3969/j.issn.1006-5725.2018.06.025
- VernacularTitle:疝环充填式无张力疝修补术治疗腹股沟疝疗效及对患者微环境相关指标的影响
- Author:
Feng LIANG
1
;
Wei ZHANG
;
Fei LI
;
Shuangfa NIE
;
Xiaobin GAO
Author Information
1. 河北北方学院附属第一医院肝胆外科 河北张家口075000
- Keywords:
Mesh plug tension-free hernia repair;
inguinal hernia;
clinical effect;
microenvironment
- From:
The Journal of Practical Medicine
2018;34(6):974-977
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of mesh plug tension-free hernia repair on inguinal hernia and its impact on microenvironment related indicators in patients.Methods A total of 128 cases of patients with inguinal hernia admitted in our hospital were divided into control group and observation group with 64 cases in each group.The control group was treated with traditional hernioplasty,while the observation group mesh plug ten-sion-free hernia repair.The clinical effect and microenvironment related indicators 1d after the operation were com-pared between the two groups. Results Compared with the control group,the observation group had less blood loss during the surgery,and shorter time for recovery of out-of-bed ambulation and hospitalization(P<0.01),but no significant difference was found regarding surgery hours(P > 0.05). The VAS scores of the observation group were significantly lower than those of the control group at the same time points 1 and 3 days after operation(P <0.01). Compared with those of control group 1 day after operation,the serum beta-endorphin(β-EP)of observa-tion group was significantly reduced,but total antioxidant capacity(T-AOC),growth hormone(GH),insulin (InS)level increased significantly(P<0.01).Serum matrix metalloproteinases-9(MMP-2 and MMP-9)and tis-sue inhibitor of matrix metalloproteinases(TIMP-1 and TIMP-2)were significantly reduced(P<0.01).Acute uri-nary retention,scrotal effusion,the incidence of postoperative pain and postoperative recurrence rate of observa-tion group were significantly reduced when compared with those of control group(P < 0.01);there was no differ-ence of incidence of low thermal between the two groups(P>0.05).Conclusion Mesh plug tension-free hernia repair has a significant clinical effect on inguinal hernia with less complications,lower recurrence rate and lighter impact on microenvironment related indicators.
