Objective:To compare the efficacy of small incision tension-free hernia repair combined with scrotal drainage with laparoscopic transabdominal preperitoneal hernia repair(TAPP).Methods:Clinical data of patients with inguinal hernia who under-went surgery from Jun.2018 to Feb.2023 were retrospectively analyzed.107 cases of small incision tension-free hernia repair combined with scrotal drainage were classified as group A,and 216 cases of TAPP were classified as group B.The intraoperative,postoperative and follow-up conditions were compared between the two groups.Results:Intraoperative blood loss in group A was significantly more than that in group B,the operative time was significantly shorter than that in group B,the time of postoperative exhaust,ambulation,obvious pain and hospital stay in group A were significantly longer than those in group B,the medical cost was significantly lower than that in group B,the differences were statistically significant(P<0.001).The average drainage tube removal time in group A was(2.03±0.65)d.The differences between the two groups in chronic pain,foreign body sensation,urinary retention,seroma or scrotal edema,and recurrence rate were not statistically significant(P>0.05);incision infection incidence in group A was significantly higher than that in group B with statistical difference(P<0.05).Conclusions:Small incision tension-free hernia repair combined with scrotal drainage and TAPP are safe and effective in the treatment of inguinal hernia.For those who cannot tolerate general anesthesia,have the requirement of low cost and incision aesthetics,small incision tension-free hernia repair is appropriate,and the combination of scrotal drainage can pre-vent postoperative seroma or scrotal hematoma,which is a simple technique and suitable for primary hospitals.
关键词
疝,腹股沟/经腹腹膜前疝修补术/无张力/小切口/阴囊引流/腹腔镜检查/疗效比较研究
Key words
Hernia,inguinal/Transabdominal preperitoneal herniorrhaphy/Tension-free/Small incision/Scrotal drainage/La-paroscopy/Comparative effectiveness research
维普
万方数据