国际老年医学杂志2019,Vol.40Issue(2):85-87,110,4.DOI:10.3969/j.issn.1674-7593.2019.02.007
腹腔镜经腹膜前法使用免钉合3D补片治疗老年腹股沟疝的临床研究
Clinical Analysis of Laparoscopic Treatment of Inguinal Hernia through Transabdominal Preperitoneal Approach Using Free Stapling 3D Mesh in Elderly Patients
摘要
Abstract
Objective To observe the clinical outcomes of laparoscopic treatment of inguinal hernia through transabdominal preperitoneal approach using free stapling 3D mesh in elderly patients. Methods 80 elderly patients with inguinal hernia in our hos-pital between June 2015 and July 2016 were enrolled. The patients were divided into the control group and the observation group ac-cording to the treatment methods. The control group was treated with traditional Lichtenstein tension-free hernioplasty. The observa-tion group was treated with laparoscopic repair through transabdominal preperitoneal approach using free stapling 3D mesh. The clinical efficacies in two groups were compared. Results The postoperative ambulation time, length of hospital stay and hospitalization ex-penses in the observation group were significantly less than those in the control group (P<0.05). Visual analogue scores (VAS) af-ter 24 h and 7 d in the observation group were significantly lower than those in the control group (P<0.05). The rate of postoperative complication was lower in the observation group than that in the control group ( P<0.05). Conclusion The laparoscopic repair of inguinal hernia through transabdominal preperitoneal approach using free stapling 3D mesh is effective, safe and reliable in older pa-tients. It can reduce postoperative pain.关键词
腹腔镜腹膜前法/免钉合3D补片/李金斯坦无张力疝修补术/老年/腹股沟疝/治疗Key words
Laparoscopic transabdominal preperitoneal approach/Free stapling 3D mesh/Lichtenstein tension-free her-nioplasty/Elderly/Inguinal hernia/Treatment引用本文复制引用
Yao Huaxiong,Wang Chao,Li Xingrui,Yang Zhen..腹腔镜经腹膜前法使用免钉合3D补片治疗老年腹股沟疝的临床研究[J].国际老年医学杂志,2019,40(2):85-87,110,4.基金项目
湖北省卫生厅血吸虫防治(XF2010-16) (XF2010-16)