摘要
Abstract
Objective:To observe the effect of transection hernial sac and complete dissection of hernial sac in laparoscopic transabdominal preperitoneal herniorrhaphy in the treatment of Gilbert type 3 oblique inguinal hernia.Method:The clinical data of 86 patients with Gilbert type 3 oblique inguinal hernia who received laparoscopic transabdominal preperitoneal herniorrhaphy in Beijing Fengtai District Hospital of Traditional Chinese Medicine from August 2019 to July 2023 were retrospectively analyzed,and they were divided into transection hernial sac group and completely detached hernia sac group according to different hernia sac treatment methods during the operation,with 43 cases in each groups.Both groups underwent laparoscopic transabdominal preperitoneal herniorrhaphy,the hernial sac was transected during operation in the transection hernial sac group,and the hernial sac was completely dissected during operation in the completely detached hernia sac group.The operation condition,oxidative stress reaction,postoperative condition,hospital stay and recurrence of the two groups were analyzed.Result:Compared with the completely detached hernia sac group,the operation time,hernia sac treatment time and hospital stay in the transection hernial sac group were shorter,the intraoperative blood loss was less,and the visual analogue scale(VAS)score 24 h after surgery was lower,the differences were statistically significant(P<0.05).3 days after operation,the total antioxidant capacity(T-AOC)level in the transection hernial sac group was higher than that in the completely detached hernia sac group,and the levels of β-endorphin(β-EP),malondialdehyde(MDA)and cortisol(Cor)were lower than those in the completely detached hernia sac group,the differences were statistically significant(P<0.05).The total complication rate of transection hernial sac group was lower than that of completely detached hernia sac group,the difference was statistically significant(P<0.05).No recurrence occurred in the two groups 1 year after operation.Conclusion:In patients with Gilbert type 3 oblique inguinal hernia,transection hernial sac during laparoscopic transabdominal preperitoneal herniorrhaphy can shorten the operation time,reduce the intraoperative blood loss and the incidence of postoperative complications,and alleviate the postoperative stress reaction.关键词
Gilbert 3型腹股沟斜疝/腹腔镜经腹腹膜前疝修补术/横断疝囊/完全剥离疝囊Key words
Gilbert type 3 oblique inguinal hernia/Laparoscopic transabdominal preperitoneal herniorrhaphy/Transection hernial sac/Complete dissection of hernial sac
