Com parison of TEP operation and Lichtenstein operation for elderly inguinal hernia
HUANG Li-zhe
Gastrointestinal Anal Disease Surgery,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Guangxi Zhuang Autonomous Region,Nanning 530011,China
Abstract:ObjectiveTo investigate the clinical effect of TEP operation and Lichtenstein operation for elderly inguinal hernia.MethodsA total of 80 elderly patients with inguinal hernia admitted to our hospital from January 2016 to May 2017 were selected and randomly divided into control group and observation group,with 40 cases in each group.The control group was repaired by open lichten stein operation and the observation group by TEP operation.The operation time,the time of first ambulation after operation,the total hospital stay and postoperativewound pain,postoperative serum swelling,postoperative scrotal edema and other complications and recurrence were compared between the two groups.ResultsTherewas no significant difference in the operation time between the two groups(P>0.05).The first time out of bed and total hospitalization time of patients in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05).The intraoperative blood loss(12.5±4.48)ml in the observation group was significantly less than that in the control group(20.6±9.82)ml,and the difference was statistically significant(t=4.1640,P=0.000<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).The recurrence rate of patients in the observation group was 0(0%),and that in the control group was 1 2.5%,and the patients were operated again.There was no significant difference between the two groups in terms of recurrence after 6months follow-up(P>0.05).ConclusionLaparoscopic complete retroperitoneal hernia repair can shorten the hospitalization time and operation time and reduce intraoperative bleeding and postoperative pain and reduce postoperative complications and recurrence rate,compared with the high risk of lixinstern surgery,it can be focused on the clinical application.
黄理哲. TEP术式与Lichtenstein术式治疗老年腹股沟疝的效果比较[J]. 中国当代医药, 2018, 25(16): 56-58转62.
HUANG Li-zhe. Com parison of TEP operation and Lichtenstein operation for elderly inguinal hernia. 中国当代医药, 2018, 25(16): 56-58转62.