Effect comparison of TEP and TAPP in the treatment of elderly male inguinal hernia
Objective:To compare the effect of laparoscopic total extraperitoneal inguinal hernia repair(TEP)and transabdominal anterior peritoneal hernia repair(TAPP)in the treatment of elderly male patients with inguinal hernia(IH).Methods:89 elderly male patients with IH admitted in our hospital from November 2018 to October 2019 were retrospectively selected and divided into TEP group(n=45)and TAPP group(n=44)according to different surgical procedures.Perioperative indexes,testicular hemodynamic indexes[peak systolic velocity(PSA),diastolic flow velocity(EDV)and resistance index(RI)of testicular artery],and inflammatory indexes before and after 3 months of operation,complication rate and recurrence rate after 1 year of operation were compared between TEP group and TAPP group.Results:The operation time and pain duration in TEP group were shorter than those in TAPP group,and the hospitalization cost in TEP group was lower than that in TAPP group(P<0.05);after 3 months of operation,EDV of testicular artery in TEP group was higher than that in TAPP group,RI was lower than that in TAPP group(P<0.05);after 1 day and 3 days of operation,levels of inflammatory indexes in TEP group were lower than those in TAPP group(P<0.05);the rate of complications and recurrence had no significant difference between TEP group and TAPP group.Conclusion:TEP treatment for elderly male IH can shorten the operation time and the duration of pain,save hospital costs,effectively promote the recovery of testicular blood perfusion,which is worth of clinical promotion..
万方数据
维普
