Risk factors of postoperative complications after laparoscopic transabdominal preperitoneal hernia repair
10.3760/cma.j.issn.1008-6706.2019.17.017
- VernacularTitle: 腹腔镜经腹腹膜前疝修补术后并发症发生的危险因素分析
- Author:
Bo ZHANG
1
;
Tai KANG
;
Guo ZHANG
Author Information
1. Department of Gastrointestinal Surgery, the Central People's Hospital of Tengzhou, Tengzhou, Shandong 277500, China
- Publication Type:Journal Article
- Keywords:
Hernia;
Inguin;
Hernia repair;
Laparoscopy;
Risk factors;
Complications;
Incarcerated hernia;
Hernia sac diameter
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(17):2119-2122
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk factors of postoperative complications after laparoscopic transabdominal preperitoneal hernia repair.
Methods:The clinical data of 481 cases of laparoscopic preperitoneal hernia repair in the Central People's Hospital of Tengzhou from March 2014 to February 2018 were retrospectively analyzed.The patients were divided into complications group and control group according to whether complications occurred.The clinical data of the two groups were compared and the risk factors of complications were summarized.
Results:Postoperative complications occurred in 78 cases of 481 patients(16.22%). The proportions of age, operation time, diameter of hernia sac, intraoperative bleeding volume, incarcerated hernia and recurrent hernia in the complications group were 65.3%, 32.0%, 29.5%, 85.9%, 20.5% and 5.1%, respectively, which in the control group were 46.6%, 2.4%, 53.8%, 30.7%, 3.4% and 1.4%, respectively, the differences were statistically significant(χ2=9.175, 17.354, 84.692, 82.959, 32.444, 4.252, all P<0.05). The results showed that age>60 years, operation time>100 minutes, intraoperative bleeding>15 mL, hernia sac diameter>4 cm, incarcerated hernia were the risk factors of postoperative complications after laparoscopic transabdominal preperitoneal hernia repair.
Conclusion:Age>60 years old, operation time>100 minutes, intraoperative bleeding>15 mL, hernia sac diameter>4 cm, incarcerated hernia are the independent risk factors of postoperative complications after laparoscopic transperitoneal hernia repair.The patients combined with characteristics above should be given early intervention.
