Analysis of the Effectiveness of Open Tension-free Hernia Repair and Pre-peritoneal Hernia Repair in the Treatment of Inguinal Hernia
Objective To study the clinical value of different surgical methods(open tension-free hernia repair,ab-dominal preperitoneal hernia repair)in patients with inguinal hernia.Methods A total of 148 patients with inguinal hernia admitted to Putian Hanjiang Hospital from December 2019 to December 2022 were randomly selected as the re-search objects.According to different surgical methods,they were divided into control group and observation group,with 74 cases in each group.The control group received open tension-free hernia repair,and the observation group re-ceived preperitoneal hernia repair.The clinical indicators,complications,inflammatory indicators,and recurrence of the two groups were compared.Results The operation time(54.35±4.67)min,postoperative ambulation time(13.47±4.36)h and hospitalization time(3.84±0.46)d in the observation group were shorter than those in the control group(61.59±5.31)min,(20.46±5.13)h and(4.01±0.34)d,the intraoperative blood loss(19.84±5.15)mL in the observation group was lower than that in the control group(26.37±6.31)mL,the differences were statistically significant(t=8.807,8.931,2.556,6.896;all P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).At 1 day after operation,the levels of inflammatory factors in the two groups were higher than those at admission,but the levels of inflammatory in the observation group were lower than the control group,the differences were statistically significant(all P<0.05).The recurrence rate of the observation group was 0(0/74),which was lower than 8.11%(6/74)of the control group,and the difference was statistically significant(χ2=4.342,P=0.037).Conclusion Abdominal preperitoneal hernia repair is su-perior to open tension-free hernia repair in the treatment of inguinal hernia in terms of effectiveness.It has short op-eration time,less intraoperative blood loss,short hospital stay,low incidence of complications,small inflammatory re-sponse and low recurrence rate.
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