摘要
Abstract
Objective To discuss the effect of different patches and pavement methods in bilateral lapa-roscopic herniorrhaphy for inguinal hernia. Methods The clinical data of 180 cases with inguinal hernia per-formed bilateral laparoscopic herniorrhaphy inguinal from September 2013 to January 2016 in our hospital were analyzed retrospectively. According to fixed patch type,all cases were dived into two groups:The polypropyl-ene group (n=60)was repaired by conventional polypropylene patch,and the self-fixed group (n=120)was repaired by self-gripping patch. According to the pavement methods,the latter was divided into the improved group and the conventional group with 60 cases for each,and was carried out improved and regular pavement method during the surgery respectively. The visual analogue scale (VAS)was used to assess the degree of pain,and the satisfaction questionnaire of bilateral laparoscopic inguinal herniorrhaphy was used to assess the satisfaction of the patients. All cases were followed up for 12 months. The operative indexes as pavement time, operation time,hospital stays,intraoperative blood loss,hospitalization cost and postoperative complication rate,VAS score and satisfaction rate were recorded and compared. Results The pavement,surgery,hospi-talization time,intraoperative blood loss,hospitalization cost,and VAS score of 1-,7-,15 d after the surgery were significantly lower,and the satisfaction rate was obviously higher in the self-fixed group (including both improved group and conventional group)than those in the polypropylene group,and all the differences were sta-tistically (P<0. 05). The pavement time,operative time and intraoperative blood loss of the improved group was remarkable lower in those of the conventional group (P<0. 05),but there was no statistical difference in hospital stays,cost,VAS score of different time point after the surgery,postoperative complication rate and sat-isfaction rate between two groups (P>0. 05). No recurrence was found in all cases. Conclusions The ap-plication of self-fixed patch can effectively shorten the operating time,decrease the trauma and postoperative pain,and then promote the patient's recovery,reduce the treatment costs,increase the patient's satisfaction rate for bilateral laparoscopic inguinal hernia repair without increasing the risk of complication and recurrence. Dur-ing the surgery,the improved patch pavement method can unfold the patch quickly and expediently,and is wor-thy of popularization.关键词
腹腔镜检查/疝,腹股沟/疝修补术/补片Key words
laparoscopy/hernia,inguinal/herniorrhaphy/patch分类
医药卫生
