Clinical study of Lichtenstein operation using light polypropylene plain film in the practice of the elderly with rapid rehabilitation hernia surgery
FAN Zhong-bao1 SHEN Jian-fen2▲ WANG Jian3 YU Hao4 LIU Yan-feng5
1. The First Department of General Surgery, People′s Hospital of China Medical University, People′s Hospital of Liaoning Province,Liaoning Province,Shenyang 110016,China;
2.Department of Cardiology,the First Hospital of China Medical University, Liaoning Province, Shenyang 110001, China;
3. Department of Anesthesiology, the First Hospital of China Medical University,Liaoning Province,Shenyang 110001,China;
4.Department of Hand Surgery,Central Hospital Affiliated to Shenyang Medical College, Liaoning Province, Shenyang 110001, China;
5. Department of General Surgery, the First Affiliated Hospital of Dalian Medical University, Liaoning Province, Dalian 116000, China
Abstract：Objective To explore the superiority and feasibility of Lichtenstein operation using light polypropylene plain film in the practice of the elderly with rapid rehabilitation hernia surgery. Methods From January 2015 to January 2019, 120 elderly patients with inguinal hernia who were admitted to the First Department of General Surgery of People′s Hospital of China Medical University, People′s Hospital of Liaoning Province were selected as the research subjects. They were divided into the study group (n=67) and the control group (n=53) according to different meshes and surgical methods. In the study group, light polypropylene plain film for Lichtenstein was used, and in the control group,polypropylene-pro-lene hernia system (PHS) patch for open preperitoneal space tension-free hernia repair was applied.The operation-related indicators, postoperative pain score, postoperative complications, quality of life score and total satisfaction at one month after operation, and recurrence at one year of follow-up were analyzed and compared. Results The operation time, bed-off activity time, and hospital stay of the study group were shorter than those of the control group, the incidence of postoperative pain above moderate and foreign body sensation was lower than that of the control group, with statistically significant differences(P ＜0.05). The pain scores at the first, third, fifth, and seventh days after surgery in the study group were lower than those in the control group, with statistically significant differences (P＜0.05). The quality of life score and total satisfaction at one month after surgery in the study group were higher than those in the control group, with statistically significant differences (P＜0.05). There were no complications such as incision infection, urinary retention, seroma, etc., and there was no recurrence after one year of follow-up.Conclusion The use of light polypropylene plain film for Lichtenstein operation is simple, has few complications, and has high postoperative rehabilitation quality. It has obvious clinical advantages in the practice of rapid rehabilitation hernia surgery in the elderly.
范中宝；沈建芬；王键；于灏；刘严峰. 应用聚丙烯轻量型平片行Lichtenstein手术在老年快速康复疝外科实践中的临床研究[J]. 中国当代医药, 2020, 27(29): 17-20.
FAN Zhong-bao1 SHEN Jian-fen2▲ WANG Jian3 YU Hao4 LIU Yan-feng5. Clinical study of Lichtenstein operation using light polypropylene plain film in the practice of the elderly with rapid rehabilitation hernia surgery. 中国当代医药, 2020, 27(29): 17-20.
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