Effect of complete dissection or transection of inguinal hernia sac in laparoscopic transabdominal preperitoneal hernia repair on postoperative complications in patients with inguinal hernia
Objective To compare the efficacy and safety of complete dissection and transection of inguinal hernia sac in laparoscopic transabdominal preperitoneal hernia repair for inguinal hernia.Methods Sixty patients with inguinal hernia diagnosed and treated in our hospital from January 2021 to December 2022 were selected and divided into observation group and control group according to the odd and even number of admission order,with 30 cases in each group.Both groups underwent laparoscopic transabdominal preperitoneal hernia repair,the observation group was given transection of inguinal hernia sac,and the control group was given complete dissection of the inguinal hernia sac.The surgical effects of the two groups were compared.Results There was no significant difference in the total effective rate of treatment between the two groups(P>0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The operation time,hernia sac treatment time,intraoperative blood loss,inguinal effusion volume at 5 d after operation,hospitalization time,the Visual Analogue Scale(VAS)score at 48 h after operation,and the Barthel Index(BI)score at 1 month after operation were better than those of the control group(P<0.05).One month after operation,the scores of each dimension of the 36-Item Short Form Health Survey(SF-36)in the observation group were higher than those in the control group(P<0.05).Conclusion Laparoscopic transabdominal preperitoneal hernia repair with complete dissection or transection of inguinal hernia sac in the treatment of inguinal hernia has the same therapeutic effect,but the transection of inguinal hernia sac has little postoperative complications,and the patients have faster recovery and better quality of life.
inguinal hernialaparoscopic transabdominal preperitoneal hernia repairquality of life
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