2019•Chin J Hernia Abdominal Wall Surg(Electronic Edition)Requires access
Comparison of application effect of laparoscopic total extraperitoneal repair and transabdominal preperitoneal repair in inguinal hernia
Wenjiu Song, Haopeng Lv, Jianping Chen, Ling Ling
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Abstract
Objective
To compare the application effect of laparoscopic total extraperitoneal (TEP) repair and transabdominal preperitoneal (TAPP) repair in the inguinal hernia.
Methods
The clinical data of 80 patients with inguinal hernia admitted to Xinjin People's hospital from February 2015 to January 2018 were retrospectively analyzed, and they were divided into the study group and the control group according to the different operation method, with 40 cases in each group. The study group was treated with TEP repair, and the control group underwent TAPP repair. Both groups were followed up for 1 year. The clinical indicators and postoperative pain of the two groups were compared, and the postoperative complications occurrence rate was noted.
Results
The operation time and mesh implantation time in the study group were significantly shorter than those in the control group [(60.27±4.23) minutes vs (73.18±5.62) minutes, (25.31±4.86) minutes vs (28.73±5.12) minutes, t=11.608, 3.064, P<0.001, P=0.003]. There were no significant differences in the hospitalization time and the gastrointestinal function recovery time between the two groups [(3.38±0.78) days vs (3.14±0.71) days, (15.08±0.91) minutes vs (14.79±0.83) minutes, t=1.439、1.489, P=0.154、0.140]. The VAS scores of the 2 groups showed a downward trend from before operation to 5 months after operation (F=252.345, 181.841, all P<0.001). At each time point of 2 months and 5 months after the surgery, the study group showed lower VAS score than the control group (t=4.135, 4.711, all P<0.001). There was no significant difference in the incidence of complications between the study group and the control group (5% vs 20%, χ2=2.857, P=0.091).
Conclusion
TEP repair can effectively shorten the operative time and mesh implantation time compared with TAPP repair, with less postoperative pain and low incidence of complications.
Key words:
Hernia, inguinal; Herniorrhaphy; Laparoscopes