Analysis of the Clinical Effects of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Complete Extraperitoneal Hernia Repair in Elderly Patients with Inguinal Hernia
Objective:To explore the difference in therapeutic effects between laparoscopic transabdominal preperitoneal hernia repair and complete extraperitoneal hernia repair in elderly patients with inguinal hernia. Methods:70 elderly patients with inguinal hernia were randomly divided into a control group of 35 cases who underwent laparoscopic anterior peritoneal hernia repair,and a study group of 35 cases who underwent complete extraperitoneal hernia repair using a random number table method. Compare the differences in effectiveness between the two surgeries. Results:There was a significant difference in the surgical indicators between the two groups compared to the control group,except for intraoperative blood loss (P<0.05). And the research group's postoperative TNF-α,the levels of IL-6 and hs CRP indicators were lower compared to the control group (P<0.05). There was no significant difference in the incidence of complications (2.86％) and recurrence rate (0) between the study group and the control group (11.43％,2.86％) (P>0.05). Conclusion:Compared with laparoscopic transabdominal preperitoneal hernia repair,complete extraperitoneal hernia repair can reduce postoperative micro inflammatory reactions,promote faster recovery,and reduce hospitalization costs in elderly patients with inguinal hernia.
laparoscopic transabdominal repair of preperitoneal herniainguinal herniacomplete repair of extraperitoneal herniamicroinflammationrecrudescence
万方数据
维普
