Comparison of clinical efficacy of local anesthetic Lichtenstein, modified Kugel and general anesthetic transabdominal preperitoneal hemioplasty in the treatment of unilateral primary inguinal hernia in elderly patients
10.3760/cma.j.cn113855-20240708-00462
- VernacularTitle:局部麻醉下Lichtenstein、改良Kugel与全身麻醉下经腹腔腹膜前腹股沟疝修补术治疗老年人单侧原发性腹股沟疝的临床疗效比较
- Author:
Baoyu LI
1
;
Bin LIU
1
;
Fangxin WAN
1
;
Minghao CHEN
1
;
Haocheng ZHANG
1
;
Yankui LI
1
Author Information
1. 天津医科大学第二医院普外科，天津 300211
- Publication Type:Journal Article
- Keywords:
Anesthesia,local;
Hernia,inguinal;
Laparoscopy
- From:
Chinese Journal of General Surgery
2025;40(11):879-882
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the curative effect of local anesthesia Lichtenstein, modified Kugel and general anesthetic transabdominal preperitoneal(TAPP) hemioplasty in the treatment of primary unilateral inguinal hernia in elderly patients.Methods:Six hundred and twenty-one patients with unilateral primary inguinal hernia admitted at Second Hospital of Tianjin Medical University from January 2021 to December 2023 were randomly divided into 3 groups before operation: Lichtenstein group, Modified-Kugel group, TAPP group,207 patients in each group. The clinical data were compared.Results:The average operation time of the Lichtenstein and modified Kugel hernia repair groups was significantly shorter than that of TAPP group ( P<0.01), and the hospitalization cost was also significantly lower than that of TAPP group. The postoperative pain score, time spent in the ground and hospital stay in TAPP group were significantly lower than those in Lichtenstein and modified Kugel groups ( P<0.05). There were no serious complications in the 3 groups. Conclusions:Three kinds of hernia repair are all safe and effective in the treatment of elderly patients with unilateral primary inguinal hernia. TAPP has lighter postoperative pain and quicker recovery. Lichtenstein and Modified-Kugel hernia repair under local anesthesia are suitable for those who cannot tolerate general anesthesia.
