摘要
Abstract
Objective To study the impact of laparoscopic transabdominal preperitoneal hernia repair on postoperative pain perception and incision comfort in patients with inguinal hernia.Methods A retrospective analysis was conducted on 62 patients with inguinal hernia admitted to Shangcheng County Shangshiqiao Town Central Health Center from March 2021 to December 2023.According to the different surgical methods,they were divided into Group A and Group B,with 31 cases in each group.Group A received open preperitoneal space hernia repair,while Group B received laparoscopic transabdominal preperitoneal hernia repair.Postoperative pain,perioperative indicators,stress response indicators,and incision satisfaction were compared between the two groups.Results The pain scores of Group B patients on postoperative day 1,day 3,and day 7 were lower than those of Group A,with statistically significant differences(P＜0.05).The time to first ambulation,duration of postoperative pain,and hospital stay in Group B were shorter than those in Group A,and intraoperative blood loss was lower in Group B,with statistically significant differences(P＜0.05).There was no statistically significant difference in the operation time between the two groups(P＞0.05).The levels of adrenaline(E),cortisol(Cor),and β-endorphin(β-EP)in Group B at 24 hours postoperatively were lower than those in Group A,with statistically significant differences(P＜0.05).The incision satisfaction in Group B was higher than that in Group A,with statistically significant differences(P＜0.05).Conclusion Laparoscopic transabdominal preperitoneal hernia repair has positive significance for patients with inguinal hernia.It can effectively alleviate postoperative pain,improve incision satisfaction,and reduce postoperative stress response,making it valuable for clinical application.关键词
腹股沟疝/腹腔镜下经腹腔腹膜前疝修补术/开放式腹膜前间隙疝修补术/术后疼痛/切口满意度Key words
inguinal hernia/laparoscopic transabdominal preperitoneal hernia repair/open preperitoneal space hernia repair/postoperative pain/incision satisfaction分类
医药卫生
