Effect of TAPP and TEP in the Treatment of Adult Inguinal Hernia and its Effect on Postoperative VAS Score and Prognosis Recovery
Objective To study the effect of TAPP and TEP in the treatment of adult inguinal hernia and its effect on postoperative VAS score and prognosis recovery.Methods A total of 90 adult patients with inguinal hernia diagnosed and treated in our hospital from March 2020 to March 2023 were selected as the research objects.According to the type of operation,they were divided into TAPP group(n=45)and TEP group(n=45).The postoperative VAS score,surgical index,diameter of spermatic vein,blood flow velocity of spermatic vein,incidence of complications and recurrence rate were compared between the two groups.Results There was no significant difference in VAS scores between the TEP group and the TAPP group immediately after operation,24 h after operation and 48 h after operation(P＞0.05).The operation time,postoperative hospital stay and postoperative ambulation time in the TEP group were shorter than those in the TAPP group,and the intraoperative blood loss was less than that in the TAPP group(P＜0.05).The diameter of spermatic vein increased and the velocity of venous blood flow decreased in the two groups after operation,while the diameter of spermatic vein in the TEP group was larger than that in the TAPP group,and the velocity of venous blood flow was lower than that in the TAPP group(P＜0.05).There was no significant difference in the incidence of complications between the TEP group and the TAPP group(P＞0.05).After 6 months of follow-up,there was no significant difference in the recurrence rate between the TEP group and the TAPP group(P＞0.05).Conclusion for adult inguinal hernia,both TAPP and TEP have good safety and prognosis.However,TEP surgery has a faster postoperative recovery and less impact on the spermatic cord,which has relatively better clinical application value.
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