Effects of different surgical methods in treatment of inguinal hernia patients
Objective:To compare effects of laparoscopic transabdominal preperitoneal inguinal hernia repair(TAPP),laparoscopic total extraperitoneal inguinal hernia repair(TEP)and traditional tension-free hernia repair in treatment of inguinal hernia.Methods:A prospective study was conducted on 141 patients with inguinal hernia admitted to this hospital from March 2021 to January 2023.According to the random number table method,they were divided into traditional group,laparoscopic group A and laparoscopic group B,47 cases in each group.The traditional group was treated with tension-free hernia repair,the laparoscopic group A was treated with TAPP,while the laparoscopic group B was treated with TEP.The perioperative index level,the postoperative pain degree[visual analogue scale(VAS)]score,the stress index level[cortisol(Cor),norepinephrine(NE),adrenocorticotropic hormone(ACTH)]levels before and after the surgery,the incidence of complications within 1 week after the surgery,and the recurrence rate after 3 months of follow-up were compared among the three groups.Results:The operation time and the intestinal function recovery time of the laparoscopic group A and group B were longer than those of the traditional group,the out-of-bed time were shorter than those of the traditional group,the intraoperative blood loss were less than those of the traditional group,and the differences were statistically significant(P<0.05).The operation time and the out-of-bed time of the laparoscopic group B were shorter than those of the laparoscopic group A,and the differences were statistically significant(P<0.05).There were no significant differences in the intraoperative blood loss and the intestinal function recovery time between laparoscopic group A and laparoscopic group B(P>0.05).There were no significant differences in the VAS scores between groups A and B 1 day,3 days and 1 week after the surgery(P>0.05).On the 3rd day after the surgery,the levels of serum ACTH,NE and Cor in the three groups were higher than those on the 1st day before the surgery,but the comparison of the three groups showed that laparoscopic group B<laparoscopic group A<traditional group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of complications and the recurrence rate among the three groups(P>0.05).Conclusions:The out-of-bed time in the patients with inguinal hernia treated by TEP and TAPP are shorter than those of traditional tension-free hernia repair,and the intraoperative blood loss are less than those of traditional tension-free hernia repair.The operation time and the out-of-bed time of TEP in the treatment of inguinal hernia are shorter than those of TAPP,and the stress index levels are lower than those of TAPP and traditional tension-free hernia repair.The three surgical methods have their own advantages and disadvantages.
NETL
NSTL
万方数据
维普
