Comparative study on the efficacy of laparoscopic transabdominal preperitoneal repair and Bassini herniorrhaphy in the treatment of inguinal hernia
- VernacularTitle:经腹腔镜腹膜前间隙无张力修补术与巴西尼疝修补术治疗腹股沟疝的疗效比较
- Author:
Li ZHANG
1
;
Zhiming WU
1
;
Xuequn YU
1
;
Jianying YU
1
Author Information
- Publication Type:Journal Article
- Keywords: inguinal hernia; laparoscopic transabdominal preperitoneal repair(TAPP); Bassini herniorrhaphy; rehabilitation effect
- From: China Journal of Endoscopy 2025;31(10):83-90
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the therapeutic effects of laparoscopic transabdominal preperitoneal repair(TAPP)and Bassini herniorrhaphy in the treatment of inguinal hernia.Methods 107 patients with inguinal hernia from January 2021 to December 2024 were selected and divided into the Bassini group(53 cases were repaired by Bassini herniorrhaphy)and the TAPP group(54 cases were repaired by TAPP)by random number table method.The surgical-related indicators,pain degree,stress index levels,quality of life,rehabilitation effect and incidence of complications of the two groups of patients were compared.Results The operation time of the Bassini group was significantly shorter than that of the TAPP group,the intraoperative blood loss was significantly more than that in the TAPP group,and the hospital stay was significantly longer than that in the TAPP group,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score of the two groups of patients after surgery showed a trend of first increasing and then decreasing.The VAS scores of the TAPP group at 3 and 7 days after surgery were significantly lower than those of the Bassini group,and the differences were statistically significant(P<0.05).The levels of cortisol and norepinephrine in both groups of patients 3 days after the operation were significantly higher than those before the operation,and the Bassini group was significantly higher than the TAPP group,the differences were statistically significant(P<0.05).The total effective rate of the TAPP group was 98.15%,significantly higher than that of the Bassini group(83.02%),and the difference was statistically significant(P<0.05).The Short Form 36(SF-36)score of the two groups of patients one month after the operation was significantly higher than that before the operation,and the TAPP group was significantly higher than the Bassini group,the differences were statistically significant(P<0.05).The incidence of complications in the TAPP group was 3.70%,significantly lower than 18.87%in the Bassini group,and the difference was statistically significant(P<0.05).Conclusion Compared with Bassini herniorrhaphy,TAPP can effectively shorten the hospital stay,reduce intraoperative blood loss,lower postoperative pain and stress response,improve the postoperative quality of life of patients,enhance rehabilitation effect and reduce the incidence of complications.It is worthy of clinical promotion and application.
