腹腔镜经腹腔腹膜前疝修补术治疗复发性腹股沟疝的效果分析

Effect analysis of laparoscopic peritoneal anterior hernia repair for recurrent inguinal hernia

目的:研究用腹腔镜经腹腔腹膜前疝修补术治疗复发性腹股沟疝的效果。方法:将2019年1月至2020年9月龙川县人民医院收治的72例复发性腹股沟疝患者纳入本研究。按照系统抽样法将其分为对照组(n=36)和试验组(n=36)。对试验组患者进行腹腔镜经腹腔腹膜前疝修补术,对对照组患者进行腹腔镜全腹膜外疝修补术,然后比较两组患者的各项临床指标。结果:与对照组患者相比,试验组患者术后肛门排气、进食和住院的时间均更短,其术后并发症的发生率和术后24 h视觉模拟评分法(VAS)的评分均更低,P<0.05。结论:与用腹腔镜全腹膜外疝修补术治疗复发性腹股沟疝相比,用腹腔镜经腹腔腹膜前疝修补术治疗此病的效果更好,能更有效地降低患者术后并发症的发生率,减轻其术后的疼痛感,缩短其术后恢复的时间。

Objective:To study the effect of laparoscopic transabdominal anterior peritoneal hernia repair on recurrent inguinal hernia.Methods:A total of 72 patients with recurrent inguinal hernia admitted to Longchuan People’s Hospital from January 2019 to September 2020 were enrolled in this study.They were divided into control group(n=36)and experimental group(n=36)by systematic sampling method.Patients in the experimental group were treated with laparoscopic peritoneal pre-peritoneal hernia repair,while patients in the control group were treated with laparoscopic total external peritoneal hernia repair,and then the clinical indicators of the two groups were compared.Results:Compared with the control group,the time of postoperative anal exhaust,feeding and hospitalization were shorter in the experimental group,and the incidence of postoperative complications and the visual analogue scale(VAS)score of 24 h after surgery were lower,P<0.05.Conclusion:Compared with laparoscopic total peritoneal hernia repair for the treatment of recurrent inguinal hernia,laparoscopic peritoneal pre-peritoneal hernia repair has a better effect on the treatment of recurrent inguinal hernia,which can more effectively reduce the incidence of postoperative complications,relieve postoperative pain and shorten postoperative recovery time.