Effect of laparoscopic transabdominal preperitoneal prosthetic on inguinal hernia
PENG Xiao-fei CHEN Xiang WEN Wei-zhong
Department of Gastrointestinal Surgery,the Sixth Affiliated Hospital of Guangzhou Medical University Qingyuan People′s Hospital,Guangdong Province,Qingyuan 511518,China
Abstract：Objective To investigate the effect of laparoscopic transabdominal preperitoneal prosthetic (TAPP)on inguinal hernia.Methods From January 2016 to October 2017,100 patients with inguinal hernia treated in our hospital were selected as the subjects,and grouped according to different surgical methods.The control group (20 cases)were treated with traditional operation.TAPP group were treated with TAPP surgery,and TEP group were treated with TEP surgery.The operative time,postoperative autonomic activity time,postoperative observation time,postoperative pain at the wound site,intraoperative amount of bleeding,and the total incidence of scrotal edema,infection,and urinary retention were compared among the three groups.Results There was no significant difference in the operation time,postoperative autonomic activity time,postoperative observation time,postoperative pain at the wound site,or intraoperative amount of bleeding between TAPP and TEP groups(P＞0.05).The total incidence of scrotal edema,infection,and urinary retention were not displayed significant difference in the TAPP and TEP groups(P＞0.05).However,the above indicators in the TAPP and TEP groups were all better than those in the control group,the difference was statistically significant(P＜0.05).Conclusion The clinical application of laparoscopic TAPP obtains a definite effect at advantages of shorter operation time,smaller trauma compared with open surgery,reduce intraoperative bleeding and complications after surgery,and promote the postoperative recovery,which is tantamount to TEP surgery in efficacy.
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