2012China Modern DoctorRequires access

Laparoscopic hernia repair,tension-free hernia repair and traditional hernia repair:efficacy comparative study

Luping Xu

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Abstract

Objective To compare the analysis of laparoscopic hernia repair,tension-free hernioplasty with the efficacy of traditional hernia repair.Methods From January 2009 to January 2012,fifty cases of our hospital accepted the traditional hernia repair,inguinal hernia patients,the establishment of group A,and the other 50 cases of concomitant tension-free repair of inguinal hernia patients,the establishment of group B,and concomitant laparoscopic hernia repair 50 cases,was set up for the C group.Results The shortest operative time of group C,to get out of bed the earliest,the shortest average length of stay,average hospital costs up to.Group A surgical longest time,get out of bed time at the latest,the average length of stay the longest average length of stay of the lowest cost among the three groups,the difference was statistically significant(F = 2.156,5.236,3.537,10.7836,P 0.05).Group A,postoperative urinary retention,scrotal hematoma,wound infection cases significantly more than group B and group C and no case of urinary retention,scrotal hematoma,wound infection,were followed up for 1-3 years,the recurrence rate of group A,significantly than in group B and group C,the difference was statistically significant(P 0.05).Conclusion The laparoscopic hernia repair,tension-free hernioplasty with advantages and disadvantages of traditional hernia repair surgery should be based on the type of hernia,hernia ring and pubic muscle hole lack of size,surrounded by transversalis fascia weak degree of the specific situation,taking into account differences in the individual patient to select the reasonable repair.

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Objective To compare the analysis of laparoscopic hernia repair,tension-free hernioplasty with the efficacy of traditional hernia repair.Methods From January 2009 to January 2012,fifty cases of our hospital accepted the traditional hernia repair,inguinal hernia patients,the establishment of group A,and the other 50 cases of concomitant tension-free repair of inguinal hernia patients,the establishment of group B,and concomitant laparoscopic hernia repair 50 cases,was set up for the C group.Results The shortest operative time of group C,to get out of bed the earliest,the shortest average length of stay,average hospital costs up to.Group A surgical longest time,get out of bed time at the latest,the average length of stay the longest average length of stay of the lowest cost among the three groups,the difference was statistically significant(F = 2.156,5.236,3.537,10.7836,P 0.05).Group A,postoperative urinary retention,scrotal hematoma,wound infection cases significantly more than group B and group C and no case of urinary retention,scrotal hematoma,wound infection,were followed up for 1-3 years,the recurrence rate of group A,significantly than in group B and group C,the difference was statistically significant(P 0.05).Conclusion The laparoscopic hernia repair,tension-free hernioplasty with advantages and disadvantages of traditional hernia repair surgery should be based on the type of hernia,hernia ring and pubic muscle hole lack of size,surrounded by transversalis fascia weak degree of the specific situation,taking into account differences in the individual patient to select the reasonable repair.

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Available abstract

Objective To compare the analysis of laparoscopic hernia repair,tension-free hernioplasty with the efficacy of traditional hernia repair.Methods From January 2009 to January 2012,fifty cases of our hospital accepted the traditional hernia repair,inguinal hernia patients,the establishment of group A,and the other 50 cases of concomitant tension-free repair of inguinal hernia patients,the establishment of group B,and concomitant laparoscopic hernia repair 50 cases,was set up for the C group.Results The shortest operative time of group C,to get out of bed the earliest,the shortest average length of stay,average hospital costs up to.Group A surgical longest time,get out of bed time at the latest,the average length of stay the longest average length of stay of the lowest cost among the three groups,the difference was statistically significant(F = 2.156,5.236,3.537,10.7836,P 0.05).Group A,postoperative urinary retention,scrotal hematoma,wound infection cases significantly more than group B and group C and no case of urinary retention,scrotal hematoma,wound infection,were followed up for 1-3 years,the recurrence rate of group A,significantly than in group B and group C,the difference was statistically significant(P 0.05).Conclusion The laparoscopic hernia repair,tension-free hernioplasty with advantages and disadvantages of traditional hernia repair surgery should be based on the type of hernia,hernia ring and pubic muscle hole lack of size,surrounded by transversalis fascia weak degree of the specific situation,taking into account differences in the individual patient to select the reasonable repair.

Key concepts: Medicine, Hernia repair, Surgery, Hernia, Concomitant, Hematoma, Fascia, Inguinal hernia

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