Objective To investigate the application effect of programmed spatial anatomy of the pubic symphysis hernia(PSH)region in laparoscopic totally extraperitoneal hernia repair(TEP).Methods A retrospective cohort study was conducted on 121 patients with unilateral inguinal hernia who underwent TEP at Wujin Hospital Affiliated to Jiangsu University from May 2019 to May 2021.Patients were divided into the programmed group(63 cases)and the traditional group(58 cases)according to different surgical techniques.The programmed group underwent programmed spatial anatomy of the PSH region combined with TEP,while the traditional group underwent TEP alone.Perioperative evaluation indicators and postoperative complications were observed and compared between the two groups.Results In the programmed group,the operative time,postoperative ambulation time,length of hospital stay,time to handle the hernia sac during surgery,as well as VAS-24 and VAS-48 scores were significantly shorter compared to the traditional group(P＜0.05).Intraoperative blood loss was significantly reduced in the programmed group compared to the traditional group(P＜0.05).The incidence of peritoneal damage,inferior epigastric artery injury,sensory nerve abnormalities,and chronic pain was lower in the programmed group compared to the traditional group(P＜0.05),while there was no statistically significant difference in postoperative serum swelling between the two groups(P＞0.05).Conclusion The application of programmed spatial anatomy of the PSH region significantly improves the clinical outcomes of TEP,improves relevant intraoperative and postoperative clinical indicators,reduces the incidence of postoperative complications,and is suitable for promotion among young physicians and basic hospitals.
维普
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