摘要
Abstract
Objective:To investigate the clinical effect of transumbilical approach three-port laparoscopic in preperitoneal repair surgery for inguinal hernia.Method:A clinical randomized prospective study was conducted.A total of 189 patients with inguinal hernia who underwent surgical treatment at Beijing Renhe Hospital from March 2021 to June 2024 were selected and divided into group A(n=95)and group B(n=94)according to the random number table.Group A underwent transumbilical approach three-port laparoscopic in preperitoneal repair surgery for inguinal hernia,while group B received traditional tension-free hernia repair surgery.The perioperative indicators,inflammatory factors,pain degree,levels of pain mediators and incidence of complications of the two groups were compared.Result:The surgery time,hospital stay in group A were shorter than those in group B,anal exhaust time and postoperative recovery to normal activities were all earlier than those in group B,and the intraoperative blood loss was less than that in group B(P<0.05).At 24 hours after the surgery,the levels of TNF-α,IL-6 and IL-1β in both groups increased compared with those before the surgery,and those in group B were all higher than those in group A(P<0.05).At 4,8,12 and 24 hours after the surgery,the VAS scores of group A were lower than those of group B(P<0.05).At 24 hours after the surgery,the levels of β-endorphin(β-EP),serotonin(5-HT),substance P in both groups increased compared with those before the surgery,and those in group A were all lower than those in group B(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Compared with traditional tension-free hernia repair surgery,transumbilical approach three-port laparoscopic in preperitoneal repair surgery for inguinal hernia has the advantages of less trauma,less pain and less inflammation.关键词
经脐入路/三孔腹腔镜/腹膜前修补术/腹股沟疝/疼痛/炎症反应Key words
Transumbilical approach/Three-port laparoscopic/Preperitoneal repair surgery/Inguinal hernia/Pain/Inflammatory response
