Application of laparoscopic total extraperitoneal inguinal hernia repair in the treatment of acute strangulated inguinal hernia
Objective:To explore the application value of total extraperitoneal repair(TEP)in acute strangulated inguinal hernia.Methods:A total of 58 patients diagnosed with acute strangulated inguinal hernia in our hospital from January 2018 to December 2023 were selected.They were randomly divided into a laparoscopic group and conventional resection group,with 29 cases in each group.Perioperative laboratory examination indicators,surgical time,postoperative exhaust time,incidence of postoperative complications,postoperative drainage tube removal time,and hospital stay between two groups were compared.Results:On the third day after surgery,white blood cells(WBC),urea nitrogen(BUN),creatinine(Cr),and C-reactive protein(CRP)were obviously decreased in both groups,and the laparoscopic group showed a significant decrease compared to the conventional resections group,which was of statistical significance(P<0.05).Albumin(ALB)levels were increased compared to the first day after surgery,while the laparoscopic group showed a significant increase compared to the conventional resections group,which showed a statistically significant difference(P<0.05);The intraoperative bleeding,postoperative exhaust time,postoperative feeding time,drainage tube removal time,and hospital stay in the laparoscopic group were significantly lower than the conventional resection group(P<0.05),and there was no significant difference in surgical time between the two groups(P>0.05);The incidence of lung and wound infections in the conventional resection group was significantly higher than that in the laparoscopic group(P<0.05).Conclusion:Laparoscopic total extraperitoneal inguinal hernia repair is safe and feasible for the treatment of emergency strangulated inguinal hernia,and has certain advantages over conventional resection surgery.
Stranded inguinal herniaLaparoscopic total extraperitoneal inguinal hernia repair surgeryIntestinal resection and anastomosis
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