Effects of two surgical approaches for inguinal hernia after liver and kidney transplantation
Objective To compare the efficacy and safety of transabdominal preperitoneal hernia repair(TAPP)and open tension-free inguinal hernia repair(Lichtenstein technique)for inguinal hernia after liver and kidney transplantation.Methods A retrospective analysis was conducted on data of 17 patients with inguinal hernia after liver and kidney transplantation.According to the surgi-cal methods,14 patients with TAPP were assigned to experimental group 1,and 20 patients without a history of organ transplantation during the same period were assigned to control group 1.Additionally,3 patients with the Lichtenstein technique were assigned to experimental group 2,and 10 patients without a history of organ transplantation during the same period were assigned to control group 2.Sta-tistical analysis was performed to compare operation time,blood loss,and postoperative recovery,and to analyze the impacts of different organ transplantation on surgical method selection.Results The operation time in experimental group 1 was(50.17±14.52)minutes,which was significantly longer than(33.77±10.19)minutes in the control group 1(P＜0.05).No significant differences were observed between the two groups in terms of blood loss,postoperative ambulation time,and hospital discharge time(P＞0.05).In experimental group 2,the operation time was(41.87±12.55)mi-nutes and the blood loss was(10.78±7.56)mL,which was significantly longer than(27.14±10.64)minutes and higher than(5.40±1.56)mL in control group 2(P＜0.05).There were sig-nificant differences in surgical blood loss and hospital discharge time between experimental group 1 and experimental group 2(P＜0.05).Conclusion TAPP can improve surgical outcomes and safety,and reduce occurrence of complications.For patients with inguinal hernia after kidney transplantation combined with ureteral transplantation,the Lichtenstein technique is safer.
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