To explore the clinical effect of tension-free repair in the treatment of inguinal hernia in elderly patient
10.3760/cma.j.issn.0254-9026.2018.05.019
- VernacularTitle:无张力修补术治疗老年腹股沟疝患者的临床疗效
- Author:
Jie SU
1
;
Zhensheng FENG
;
Qi SUN
;
Guangting QIU
;
Qinge GAO
;
Kezhu HOU
Author Information
1. 200081,上海市第四人民医院普外科
- Keywords:
Hernia,inguinal;
Laparoscopic surgical procedures;
Tension-free repair
- From:
Chinese Journal of Geriatrics
2018;37(5):558-560
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of tension-free repair in the treatment of inguinal hernia in elderly patient.Methods A total of 124 elderly patients with inguinal hernia admitted in our hospital in 2016 were randomly divided into a study group(n=62)and a control group (n=62).The control group was treated with open tension-free inguinal hernia repair,whereas with laparoscopic tension-free inguinal hernia repair in the study group.The operation time,intraoperative blood loss,the postoperative pain relief-time,mean days of hospitalization,postoperative recurrence rate,and complications rates were compared between the two groups.Results The more significant improvements were found in study group versus control group in the intraoperative bleeding volume [(19.9±2.0)ml vs.(36.8±-2.5)ml,t=41.564,P=0.000],in the mean hours of postoperative pain [(22.1 ± 4.2) h vs.(35.3 ± 7.0) h,t =12.732,P =0.000],in mean days of hospitalization [(5.5 ± 1.0)d vs.(9.2±1.9)d,t=13.569,P=0.000],in incidence rate of postoperative recurrence(0.0％ vs.6.5％,x2 =4.133,P=0.042),and in postoperative complications rate(3.2％ vs.12.9％,x2 =3.916,P=0.048).Nevertheless,the operation time was longer in the study group than in the control group[(87.0±5.0)min vs.(55.5±4.2)min,t=-37.984,=0.000],Conclusions As compared with open tension-free repair,the clinical efficacy of laparoscopic tension-free hernia repair is exactly sure in the treatment of inguinal hernia,with shorter postoperative hospitalization time and lower incidence of complications.
