摘要
Abstract
Objective:To analyze the effect of laparoscopic totally extraperitoneal patch repair on elderly patients with inguinal hernia.Methods:Clinical data of 78 elderly patients with inguinal hernia from Jan.2017 to Sep.2023 were retrospectively analyzed.Patients were divided into two groups according to different surgical methods.39 patients in the observation group underwent laparosco-pic totally extraperitoneal patch repair,39 patients in the control group underwent open totally extraperitoneal patch repair.Perioperative indexes,levels of inflammatory factors and postoperative complications were compared between the two groups.Results:The operation time,postoperative pain duration,postoperative ambulation time and postoperative hospital stay in the observation group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,and the pain degree score was lower than that in the control group(P<0.05).The level of inflammatory factors on the3rd day after operation in the observation group was lower than that in the control group(P<0.05).The incidence of postoperative complications was not significantly different between the two groups(10.26%vs.7.69%,P>0.05).Conclusions:For elderly patients with inguinal hernia,totally extraperitoneal patch repair is safe and feasible,can not only optimize various operation-related indicators,but also reduce the level of inflammatory factors.关键词
疝,腹股沟/完全腹膜外疝修补术/腹腔镜检查/老年人Key words
Hernia,inguinal/Totally extraperitoneal herniorrhaphy/Laparoscopy/Aged分类
医药卫生
