The impact of groin pressure on post-TAPP enhanced recovery

VernacularTitle:腹股沟区压迫对TAPP术后快速康复的意义
Author: Dong WANG ¹ ; Qingsong TAO ; Jingmin WANG ; Rong WU ; Zhenling JI
Author Information

1. 东南大学附属中大医院普外科
Keywords: Hernia,abdominal; Laparoscopes; Enhanced recovery after surgery; Groin area pressure
From: Chinese Journal of General Surgery 2018;33(8):642-644
CountryChina
Language:Chinese
Abstract: Objective To investigate the influence of postoperative groin pressure on transabdominal preperitoneal hernioplasty (TAPP).Methods From Mar 2015 to Jul 2016 113 TAPP cases were prospectively divided into two groups,with observation group not taking any measures and intervention group using salt bag of 500 g to compress inguinal region for 12 hours.Postoperative recovery was compared between the two groups.Results After 48 hours,there was no significant difference between the two groups in pain,local complications,scrotum or labia majora swelling remission rate and urinary retention (P ＞ 0.05).However,the observation group had a less foreign body sensation (P =0.038).After 1 month,the two groups had no significant difference in terms of pain,foreign body sensation,sexual life and scrotum or labia majora swelling residual rate (P ＞ 0.05).Conclusions Groin region compression after TAPP does not help alleviate the pain,or reduce the incidence of local complications,and it does increase the foreign body sensation.