|
|
Effect and safety of tension-free hernia repair surgery in the treatment of adult patients with inguinal hernia |
QIN Wei-jing1 WANG Bin1 QUAN Dong2 CHANG Xin1 LIU Xuan1▲ |
1.The First Department of Surgery, No.63750 Hospital of the People′s Liberation Army
2.The Second Department of Surgery, No.63750 Hospital of the People′s Liberation Army |
|
|
Abstract Objective To explore the effect and safety of tension-free hernia repair surgery in the treatment of adult patients with inguinal hernia.Methods A total of 88 adult patients with inguinal hernia admitted to the No.63750 Hospital of the People′s Liberation Army from May 2016 to June 2020 were selected as the research objects.According to the surgical indications and patients′ wishes, they were divided into the observation group (n=63) and the control group(n=25).The observation group was treated with tension-free group, the control group was treated with laparoscopic hernia repair.The clinical therapeutic effect, total incidence of complications, operation time, intraoperative blood loss,hospitalization time, severity of pain and treatment cost of the two groups were compared.Results There was no statistically significant difference in the total effective rate between the two groups (P>0.05); there was no statistically significant difference in the total incidence rate of complications between the two groups (P>0.05); there were no statistically significant differences in the duration of surgery, intraoperative blood loss, length of hospital stay and VAS scores between the two groups (P>0.05); there was no statistically significant difference in the treatment cost between the two groups (P>0.05).Conclusion Compared with laparoscopic hernia repair, tension-free repair has no significant differences in complications, blood loss, and recurrence rate.The clinical effect is similar, the length of surgery will not be significantly increased, the cost of treatment will no incur higher, and the surgery is relatively simple.Therefore, it is suitable for continued popularization and application in clinical practice, especially in primary hospitals.
|
|
|
|
|
[7] |
曹亮,王步云.对比分析开放式无张力疝修补术与腹腔镜疝修补术治疗成人腹股沟疝的临床疗效[J].贵州医药,2020,44(3):410-412.
|
[8] |
苏杰,冯振声,孙奇,等.无张力修补术治疗老年腹股沟疝临床效果探讨[J].中华老年医学杂志,2018,37(5):558-560.
|
[9] |
杨联国,高永霞.开放和腹腔镜手术治疗成人腹股沟疝的临床应用[J].腹部外科,2018,31(2):119-122.
|
[10] |
张伟元.平片式、疝环充填式和腹膜前疝修补治疗成人腹股沟疝的临床对比分析[J].临床外科杂志,2018,26(12):922-924.
|
[1] |
王勇.比较腹腔镜与开放无张力疝修补术治疗成人腹股沟疝的效果[J].河南外科学杂志,2018,24(1):116-117.
|
[2] |
蒋昊,吴万飞.传统疝修补术与无张力疝修补术治疗腹股沟疝的临床对比研究[J].新疆医学,2018,48(4):427-429.
|
[3] |
刘竞,Michelle S,智迎辉,等.机器人辅助腹腔镜经腹膜前间隙腹股沟疝修补术的临床分析[J].中华医学杂志,2020,100(36):2858-2860.
|
[4] |
麦家松.无张力疝修补术与传统疝手术治疗成人腹股沟疝的临床探讨[J].临床医药文献电子杂志,2019,6(26):76-77.
|
[5] |
苏华斌,张辉,范少峰,等.腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的疗效比较[J].现代诊断与治疗,2019,30(5):76-78.
|
[6] |
付强.成人腹股沟疝行腹腔镜疝修补术、开放式无张力疝修补术治疗的临床对比分析[J].中国医疗器械信息,2018,24(5):111-112.
|
[11] |
王辉,孙杰,陈先志,等.腹腔镜下经腹腹膜前疝修补术与疝环充填式无张力疝修补术治疗腹股沟疝的疗效比较[J].中国临床保健杂志,2018,21(2):271-274.
|
[12] |
章由贤,徐瀚斌,朱以祥,等.腹腔镜经腹腹膜前疝修补术治疗成人腹股沟嵌顿疝的临床疗效[J].安徽医学,2019,40(3):302-304.
|
[13] |
朱熠林,张光永,刘雨辰,等.成人腹股沟疝无张力修补术后手术部位感染的病原学分析与耐药性特点[J].中华外科杂志,2018,56(4):305-306.
|
[14] |
张斌,胡强,陶健,等.Lichtenstein 无张力疝修补术治疗成人腹股沟嵌顿疝临床分析[J].中国现代手术学杂志,2019,23(2):111-114.
|
[15] |
杜记国.无张力疝修补术与传统疝修补术治疗成人腹股沟疝临床疗效对比[J].中国药物与临床,2019,19(3):92-93.
|
[16] |
张国强.腹腔镜经腹膜前间隙无张力修补术与无张力疝修补术在成人疝气治疗中的应用对比[J].中外医疗,2018,37(28):52-53,56.
|
|
|
|