Director's Office, Jingxian Hospital of Anhui Province, Xuancheng, China.
Department of Surgical, Jingxian Hospital of Anhui Province, Xuancheng, China.
Dis Markers. 2022 Sep 24;2022:2970257. doi: 10.1155/2022/2970257. eCollection 2022.
To assess the treatment efficacy of laparoscopic totally extraperitoneal repair for inguinal hernia.
Between November 2018 and May 2020, 130 patients with inguinal hernias diagnosed and treated in our hospital were randomly recruited and assigned to receive either tension-free hernia repair (control group) or laparoscopic totally extraperitoneal repair (study group) at the random method. All patients received routine care including external traditional Chinese medicine (TCM) application. Outcome measures included surgical indices, numeric rating scale (NRS) scores, infections, and postoperative complications.
Laparoscopic surgery is associated with a shorter operation duration, time-lapse before postoperative off-bed activity, and hospital stay, as well as less intraoperative hemorrhage volume compared to tension-free hernia repair in the control group. Patients in the study group had considerably lower NRS ratings after therapy than those in the control group. ( < 0.05). After treatment, the levels of blood cell count (WBC), C-reactive protein (CRP), and procalcitonin (PCT) in the study group were lower than those in the control group ( < 0.05). In the control group, there were 0 cases of hematoma, 3 cases of subcutaneous effusion, 4 cases of urinary retention, 5 cases of scrotal effusion, and 1 case of bladder injury. In the study group, there were 0 cases of hematoma, 1 case of subcutaneous fluid, 1 case of urinary retention, 0 cases of scrotal fluid, and 0 cases of bladder injury. Laparoscopic surgery resulted in a lower incidence of postoperative complications versus traditional surgery ( <0.05).
Laparoscopic totally extraperitoneal repair for inguinal hernia improves the intraoperative indices, mitigates postoperative pain, and reduces the risks of infections and complications, with the advantages of short operation duration, less hemorrhage volume, and shorter hospital stay. It shows great potential for clinical promotion.
评估腹腔镜完全腹膜外修补术治疗腹股沟疝的疗效。
本研究于 2018 年 11 月至 2020 年 5 月间，随机选取我院收治的 130 例腹股沟疝患者，采用随机数字表法将其分为对照组（行无张力疝修补术）和观察组（行腹腔镜完全腹膜外修补术）。所有患者均接受常规护理，包括外用中药治疗。观察指标包括手术相关指标、数字评分量表（NRS）评分、感染及术后并发症。
与对照组相比，观察组的手术时间、术后离床活动时间及住院时间更短，术中出血量更少，NRS 评分更低（ < 0.05）。治疗后，观察组的白细胞计数（WBC）、C 反应蛋白（CRP）和降钙素原（PCT）水平均低于对照组（ < 0.05）。对照组血肿 0 例，皮下积液 3 例，尿潴留 4 例，阴囊积液 5 例，膀胱损伤 1 例。观察组无血肿、1 例皮下积液、1 例尿潴留、0 例阴囊积液、0 例膀胱损伤。观察组的术后并发症发生率明显低于对照组（ < 0.05）。
腹腔镜完全腹膜外修补术治疗腹股沟疝可改善术中各项指标，减轻术后疼痛，降低感染及并发症风险，具有手术时间短、出血量少、住院时间短等优势，具有广阔的临床推广前景。
