Abstract：ObjectiveTo study the clinical effect of tension-free hernia repair in the treatment of patients with oblique inguinal hernia.MethodsFrom March 2015 to April 2017,90 patients with oblique inguinal hernia were selected and evenly divided into the traditional group and the tension-free group according to random number table method.In the traditional group,traditional hernia repair was used,while in the tension-free group,tension-free hernia repair was adopted.The total amount of bleeding during surgery,mean operation time,time of being off bed,average hospital stay,total therapeutic effectiveness rate,and incidence of complications including hematoma of scrotum were compared between the two groups.The total scores of SF-36 scale before and after treatment were compared between the two groups.ResultsThe total therapeutic effectiveness rate of in the tension-free group was significantly higher than that in the traditional group(P＜0.05).The incidence of complications such as hematoma of scrotum in the tension-free group was lower than that in the traditional group(P＜0.05).The total amount of bleeding,the meane operation time,time of being off bed,and the average hospital stay in the tension-free group were all superior to those in the traditional group (P＜0.05).Before treatment,the scores of SF-36 scale were similar in the two groups(P＞0.05).After treatment,the total scores of SF-36 in the two groups were higher than those before treatment,respectively (P＜0.05).The total score of SF-36 in the tension-free group after treatment was better than that in the traditional group (P＜0.05).ConclusionApplication of tension-free hernia repair is effective in the treatment of patients with indirect inguinal hernia.It can effectively improve the disease condition,reduce the occurrence of complications,speed up the rehabilitation,shorten hospital stay,and improve the quality of life at the characteristics of minimal invasion and safety,which is worthy of promotion.
Nakagawa M，Nagase T，Akatsu T，et al.A randomized prospective trial comparing clinical outcomes 3 years after surgery by Marcy repair and Prolene Hernia System repair for adult indirect inguinal hernia[J].Surg Today，2013，43（10）：1109-1115.
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