Comparison of Clinical Effects of Different Patches in Laparoscopic Inguinal Hernia Repair Surgery for Young Male Patients with Inguinal Hernia
10.13241/j.cnki.pmb.2025.20.010
- VernacularTitle:青年男性腹股沟疝患者行腹腔镜腹股沟疝修补术中应用不同补片的临床效果对比
- Author:
Fei LU
1
;
Jia-hui SU
;
Chao-ren FU
Author Information
1. 吉林市体仁医院综合外科 吉林吉林 132000
- Publication Type:Journal Article
- Keywords:
Young male;
Inguinal hernia;
Laparoscopic inguinal hernia repair surgery;
Polypropylene patch;
Self fixing patch;
3D Max Patch
- From:
Progress in Modern Biomedicine
2025;25(20):3276-3283
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects of different patches in laparoscopic inguinal hernia repair surgery for young male patients with inguinal hernia.Method:This study used a retrospective study design,117 young male patients with inguinal hernia who were admitted to our hospital from April 2022 to April 2024 were selected,all patients underwent laparoscopic inguinal hernia repair surgery,they were divided into Group A(41 cases,used polypropylene patches),Group B(37 cases,used self fixing patches)and Group C(39 cases,used 3D Max patches)according to the type of patch.Surgical indicators,visual analogue scale(VAS)scores at different time points,inflammatory stress indicators levels before and 1d after surgery[high sensitivity c-reactive protein(hs-CRP),cortisol(Cor),β-endorphine(β-EP),tumor necrosis factor-α(TNF-α)]and the incidence of postoperative complications and recurrence rate were compared among three groups.Result:The operation time and hospitalization time of Group B and Group C were shorter than those of Group A,and the intraoperative blood loss was less than that of Group A(P＜0.05).Compared with 1 d after surgery,VAS scores of the three groups at 3 d after surgery,7 d after surgery gradually decreased,VAS scores of the Group B at 3 d after surgery,7 d after surgery were lower than those in the Group A,VAS scores of the Group C at 3 d after surgery,7 d after surgery were lower than those in the Group B(P＜0.05).Compared with before surgery,hs-CRP,TNF-α,Cor and[3-EP increased among three groups at 1 d after suegrey,hs-CRP,TNF-α,Cor and β-EP of Group B at 1 d after surgery were lower than those of Group A(P＜0.05).hs-CRP,TNF-α,Cor and[3-EP of Group C at 1 d after surgery were lower than those of Group B(P＜0.05).The total incidence of postoperative complications and recurrence rate of Group B and Group C were lower than those of Group A(P＜0.05),and there was no significant difference in the total incidence of postoperative complications and recurrence rate between Group B and Group C(P＞0.05).Conclusion:Compared with polypropylene patches,3D Max patches and self fixing patches can better shorten surgical time and hospitalization time,reduce intraoperative blood,but 3D Max patches are more effective in reducing pain and inflammatory stress response.
