腹腔镜经腹膜前疝修补术与疝环充填式无张力修补术治疗成人腹股沟疝的临床预后对比分析

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Abstract Objective To compare and study the prognosis between different surgical ways of laparoscopic transabdominal preperitoneal (TAPP) hernia repair and mesh plug tension-free hernioplasty. Methods A total of 170 cases of inguinal hernia patients who underwent surgery in Traditional Chinese Medical Hospital of Wuhu City from January 2017 to April 2020 were selected. According to the surgical plan performed in the hospital, they were divided into hernia ring filling tension-free repair (control group, 84 cases) and TAPP (observation group, 86 cases). The operation time, postoperative pain score, time to return to normal activities, postoperative hospital stays, hospitalization expenses and total incidence of complications were compared between two groups. Results There was no significant difference in total incidence of complications between the two groups (P ＞ 0.05). There was no significant difference in operation time between two groups (P ＞ 0.05). The postoperative pain score of the observation group was lower than that of the control group, and the postoperative recovery time to normal activities, postoperative hospital stays and hospitalization expenses were shorter than those of the control group, the differences were statistically significant (P ＜ 0.05), but the hospitalization expenses of the observation group was higher than that of the control group, the difference was statistically significant (P ＜ 0.05). Conclusion TAPP is safer in application of adult inguinal hernia, and has the advantages of postoperative pain reduction and faster recovery of patients, and can be promoted and applied in clinical practice.

Key words： Laparoscopic Inguinal hernia repair Mesh plug Tension-free hernia repair

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	LYU Chenggang LIU Liangchao▲ WANG Yadong CHENG Xin TU Jia

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LYU Chenggang LIU Liangchao▲ WANG Yadong CHENG Xin TU Jia. Comparative analysis of laparoscopic transperitoneal hernia repair between hernia ring filling tension-free repair in adults with inguinal hernia[J]. 中国医药导报, 2021, 18(26): 121-124.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/121

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