自固定补片不同铺置方法在腹腔镜双侧腹股沟疝修补术中的应用

doi:10.16260/j.cnki.1009-2188.2017.05.006

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (5): 344-349 DOI: 10.16260/j.cnki.1009-2188.2017.05.006

Clinical Research

The Comparison on the Selfgripping Patch with Different Pavement Methods in Bilateral Laparoscopic Herniorrhaphy for Inguinal Hernia

DU Yi-hong1, LIU Yun-li2, LIU Ming-jie1

1.Department of General Surgery, Chang'an Hospital, Xi'an 710016, Shaanxi, China； 2.Department of Prevention and Healthcare, Traditional Chinese Hospital of Fufeng, Fufeng 722200, Shaanxi, China

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Abstract ObjectiveTo discuss the effect of different patches and pavement methods in bilateral laparoscopic herniorrhaphy for inguinal hernia.MethodsThe clinical data of 180 cases with inguinal hernia performed bilateral laparoscopic herniorrhaphy inguinal from September 2013 to January 2016 in our hospital were analyzed retrospectively. According to fixed patch type, all cases were dived into two groups: The polypropylene group (n=60) was repaired by conventional polypropylene patch, and the selffixed group (n=120) was repaired by selfgripping patch. According to the pavement methods, the latter was divided into the improved group and the conventional group with 60 cases for each, and was carried out improved and regular pavement method during the surgery respectively. The visual analogue scale (VAS) was used to assess the degree of pain, and the satisfaction questionnaire of bilateral laparoscopic inguinal herniorrhaphy was used to assess the satisfaction of the patients. All cases were followed up for 12 months. The operative indexes as pavement time, operation time, hospital stays, intraoperative blood loss, hospitalization cost and postoperative complication rate, VAS score and satisfaction rate were recorded and compared.ResultsThe pavement, surgery, hospitalization time, intraoperative blood loss, hospitalization cost, and VAS score of 1, 7, 15 d after the surgery were significantly lower, and the satisfaction rate was obviously higher in the selffixed group (including both improved group and conventional group) than those in the polypropylene group, and all the differences were statistically (P<0.05). The pavement time, operative time and intraoperative blood loss of the improved group was remarkable lower in those of the conventional group (P<0.05), but there was no statistical difference in hospital stays, cost, VAS score of different time point after the surgery, postoperative complication rate and satisfaction rate between two groups (P>0.05). No recurrence was found in all cases.ConclusionsThe application of selffixed patch can effectively shorten the operating time, decrease the trauma and postoperative pain, and then promote the patient's recovery, reduce the treatment costs, increase the patient's satisfaction rate for bilateral laparoscopic inguinal hernia repair without increasing the risk of complication and recurrence. During the surgery, the improved patch pavement method can unfold the patch quickly and expediently, and is worthy of popularization.

Key words： laparoscopy hernia, inguinal herniorrhaphy patch

Published: 25 May 2018

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R656.21

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	杜一鸿1，刘云莉2，刘明杰1

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杜一鸿1，刘云莉2，刘明杰1. The Comparison on the Selfgripping Patch with Different Pavement Methods in Bilateral Laparoscopic Herniorrhaphy for Inguinal Hernia[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(5): 344-349.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.05.006 OR http://www.surgerychina.com/EN/Y2017/V21/I5/344

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