摘要
Abstract
Objective:To comparatively analyze the automatic fixed mesh and normal polypropylene mesh in laparoscopic total -ly extraperitoneal herniorrhaphy .Methods:A total of 143 patients of inguinal hernia who underwent laparoscopic totally extraperitoneal herniorrhaphy from Jan .2012 to Jun.2015 were retrospectively analyzed .All patients were divided into two groups ,including automatic fixed mesh group (observation group,n=71) and normal polypropylene mesh group (control group,n=72).The operation time,intrao-perative bleeding ,hospital stay after operation ,hospitalization cost ,complications and relapse after operation were observed .Results:All the operations were successfully completed .In observation group and control group:average operative time was [(77.15 ±29.37) min vs.(76.11 ±28.03) min,P>0.05],intraoperative bleeding was [(10.99 ±5.32) ml vs.(10.21 ±6.52) ml,P>0.05],the hospi-tal stay after operation was [(4.07 ±0.83) d vs.(4.61 ±2.05) d,P <0.05];the hospitalization expense was [(1 428.74 ± 2 714.19) yuan vs.(7 989.29 ±1 745.95) yuan,P<0.05].All the patients were followed up,no recurrence or infection occurred during a 3-12 months of following-up.Seroma occurred in 6 cases (2 cases vs.4 cases in observation group and control group ,respec-tively),and scrotal emphysema occurred in 4 cases (1 case vs.3 cases in observation group and control group ,respectively).Both of them were not significantly different (P>0.05),and were cured after symptomatic treatment .While no chronic pain was observed in observation group,and 6 cases were observed in control group ,this difference was significant (P<0.05).Conclusions:Using automatic fixed mesh will decrease hospital stay after operation ,and not increase the risk of complications such as postoperative hernia recurrence . It’ s an effective measure for reducing postoperative chronic pain .So it is worthy to be widely used for clinical practice .关键词
疝修补术/全腹膜外/腹腔镜检查/自固定补片/对比研究Key words
Herniorrhaphy/Totally extraperitoneal/Laparoscopy/Automatic fixed mesh/Comparative study分类
医药卫生
