Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (1): 18-21 DOI: 10.16260/j.cnki.1009-2188.2017.01.005 |
| Clinical Research |
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| Comparison of Laparoscopic Transabdominal Preperitoneal Prothetic Repair and Total Extraperitoneal Hernia Repair for Recurrent Inguinal Hernia |
| LI Jiyong1, LUO Qi2, WANG Manzhen1
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| 1.Department of General Surgery, Huangpi District People's Hospital, Wuhan 430300, Hubei, China; 2.Department of Western Medicine, Huangpi District People's Hospital, Wuhan 430300, Hubei, China |
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Abstract ObjectiveTo discuss the clinical effect of laparoscopic transabdominal preperitoneal prothetic hernia repair and total extraperitonoal hernia repair in the treatment of recurrent inguinal hernia.MethodsFrom January 2013 to June 2015, a total of 80 patients with recurrent inguinal hernia were enrolled in the research. All patients were divided into two groups according to different surgical procedures: The observation group (n=44) were performed laparoscopic transabdominal preperitoneal prethetic hernia repair, and the control group (n=36) were treated by laparoscopic total extraperitoneal hernia repair. The perioperative results, VAS score of postoperative pain and complication incidence were compared between two groups.ResultsThere were no statistical difference in the operation time, postoperative outoffbed activity time, hospitalization time and postoperative VAS score between two groups (P>0.05). The operation cost of the observation group was significantly higher than that of the control group, the difference was statistical (P<0.05). The postoperative complication rate was 13.64% in the observation group and 11.11% in the control group, there was no statistical difference between two groups（P＞0.05）. All patients were followed up for 12 months, and no one was found relapse in both groups.ConclusionBoth laparoscopic transabdominal preperitoneal hernia repair and total extraperitoneal herniorrhaphy can achieve effect safe and result for recurrent inguinal hernia, and the individuation surgical procedure would be formulated according to the previous surgical procedure of herniorrhaphy.
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Published: 25 May 2018
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