Clinical Efficacy Analysis of Original Seven-Needle Suture Fixation for Laparoscopic Transperitoneal Anterior Inguinal Hernia Repair
Objective:To retrospectively analyze the effect of laparoscopic transperitoneal anterior inguinal hernia repair (TAPP).Methods:106 adult patients with Nyhus-Stoppa type Ⅰ,Ⅱ,and Ⅲ inguinal hernia admitted to General Surgery Department of Xiamen Hospital of Traditional Chinese Medicine from January 2016 to December 2018 were selected and divided into control group and test group with 53 patients in each group.The control group used TAPP,and the observation group used continuous suture fixation to compare the perioperative related clinical indicators between the two groups.Results:There was no significant difference in gender,age composition,type of inguinal hernia and classification,the control group had shorter operation time (P<0.05),bleeding,ambulation,exhaust time,hospital stay,postoperative pain,postoperative complication rate,incidence of chronic pain (P>0.05);After a 5-year follow-up,the recurrence rate in the observation group was lower than that in the control group,and the difference was statistically significant (P<0.05).Conclusion:Although the operation time of TAPP+patch continuous suture fixation is slightly longer,the complication rate is different and the recurrence rate is lower,which has high clinical application value and is worth popularizing.
laparoscopic preperitoneal hernia repairseven stitchescontinuous suture and fixation