The Effect of Transabdominal Laparoscopic Hernia Repair Surgery on Serum Inflammatory Factors and Postoperative Pain in Patients with Inguinal Hernia
Objective To investigate the application effect of transperitoneal preperitoneal laparoscopic hernia repair(TAPP)in inguinal hernia(IH).Methods The clinical data of 102 patients with IH admitted to our hospital from June 2021 to June 2023 were retrospectively analyzed.51 patients who underwent open tension-free hernia repair were set as the control group,and 51 patients who underwent TAPP were set as the observation group.The operation conditions,serum inflammatory factors,postoperative pain and complications were compared between the two groups.Results The operation time of the observation group was(61.85±6.87)min,which was longer than(50.04±6.43)min of the control group,and the intraoperative blood loss was(10.89±1.45)mL,which was less than(15.53±1.83)mL of the control group.The time of anal exhaust and hospitalization were(16.25±1.33)h and(3.91±0.43)d in the control group,which were shorter than(18.87±1.47)h and(4.82±0.54)d in the control group,and the differences between the two groups were statistically significant(P＜0.05).After the operation,the levels of hypersensitive C-reactive Protein and procalcionin in the observation group were(10.52±1.39)mg/L and(0.69±0.12)ng/mL,respectively,which were lower than(13.87±1.45)mg/L and(0.78±0.14)ng/mL in the control group,and the differences between the two groups were statistically significant(P＜0.05).At 6,24 and 48 hours after operation,the pain Visual Analog Scale scores of the observation group were(4.72±0.58)points,(2.91±0.35)points,(1.35±0.21)points,respectively,which were lower than(5.87±1.04)points,(3.62±0.43)points,(1.82±0.24)points of the control group,the differences between the two groups were statistically significant(P＜0.05).There was no significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion TAPP has higher value in treating IH,can reduce surgical trauma and reduce inflammation level,and is worthy of wide application.
Inguinal herniaLaparoscopic hernia repair surgery via abdominal cavity and preperitoneal approachInflammatory factorsPostoperative pain
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