摘要
Abstract
Objective To explore the clinical efficacy and safety of hernia ring filling type without tension hernia repair,full of extraperitoneal patch implantation (TEP),and abdominal peritoneal patch before implantation (TAPP) for inguinal hernia.Methods 167 patients with inguinal hernia treated at our hospital were selected and were divided into group A (n=55),treated with hernia ring filling type without tension hernia repair,group B (n=56),treated with TEP,and group C (n=56),treated with TAPP,according to random number table method.The efficacies were compared between these three groups.Results There were no statistical differences in operation time[(55.25±8.23) min vs.(54.35±8.19) min vs.(53.59±8.36) min],time for first off-bed activity after the operation [(30.33±4.16) h vs.(32.18±3.98) h vs.(31.22±3.77) h],hospitalization time [(5.66±1.38) d vs.(5.58±1.41) d vs.(5.77±1.57) d],the incidence of early complications (3.64％ vs.3.57％ vs.3.57％),pain 1 day after the operation [(4.11±1.51) vs.(4.13±1.62) vs.(4.22±1.49)] between these three groups (P＜0.05).1 month [(2.35±1.19) vs.(2.37±1.21) vs.(3.27±1.24)] and 6 months [(1.57±0.97) vs.(1.56±0.92) vs.(2.21±1.01)] after the operation,the pain were better in group B and group C than in group A (P＜0.05).Conclusions Hernia ring filling type without tension hernia repair,TEP,and TAPP for inguinal hernia are safe,effective,and feasible and have their own advantages and disadvantages.The patients should be individualizedly treated with a optimal surgical method.关键词
腹股沟疝/无张力修补术/全腹膜外补片植入术/腹膜前补片植入术Key words
Inguinal hernia/Tension free repair/Total peritoneal patch implantation/Peritoneal implantation
