腹膜外腔镜无张力和开放式无张力疝修补术治疗腹股沟疝的临床效果OA

Objective To study the clinical effect of totally extraperitoneal prosthetic(TEP)and open tension-free hernioplasty in the treatment of inguinal hernia.Methods Seventy patients with inguinal hernia admitted to GanzhouNankang District Hospital of Traditional Chinese Medicine from September 2021 to August 2023 were selected and divided into TEP group(35 patients)and open group(35 patients)by random number table method.The TEP group was treated with totally extraperitoneal prosthetic repair,while the open group was treated with open tension-free hernioplastyrepair.The operation indexes(operation time,intraoperative blood loss,postoperative ambulation time,postoperative hospitalization time),perioperative stress indexes[heart rate(HR),mean arterial pressure(MAP)],postoperative pain degree[Visual Analogue Scale(VAS)]and complications were compared between the two groups.Results The operation time,postoperative ambulation time and postoperative hospital stay in the TEP group were shorter than those in the open group,and the intraoperative blood loss was less than that in the open group(P＜0.05).The intraoperative and postoperative stress indexes(HR,MAP)in the two groups were higher than those before operation,but the intraoperative and postoperative stress indexes(HR,MAP)in the TEP group were lower than those in the open group(P＜0.05).The VAS score at 2 h and 6 h after operation in the TEP group were lower than that in the open group(P＜0.05).The incidence of postoperative complications in the TEP group was lower than that in the open group(P＜0.05).Conclusion Compared with open tension-free hernioplasty,TEP has more obvious clinical advantages in the treatment of inguinal hernia.It has shorter operation time,less intraoperative bleeding,faster postoperative recovery,mild perioperative stress response,low pain and low risk of surgical complications,which is worthy of application.