Purpose: Analyzing the causes of pain after tension-free repair in the inguinal hernia, and propose corresponding treatment strategies. Results: The patients in this group were followed up for 3 - 12 months. A total o...Purpose: Analyzing the causes of pain after tension-free repair in the inguinal hernia, and propose corresponding treatment strategies. Results: The patients in this group were followed up for 3 - 12 months. A total of 5 patients still had pain relief within 3 months after surgery. Further treatment was needed, and the incidence rate was 5%. Conclusion: Skilled surgical procedures are performed in patients with local anesthesia, and some of the absorbable repair materials can be used. The improved patch fixation and extra peritoneal repair can reduce the pain after inguinal hernia repair without tension.展开更多
Tension-free inguinal hernia repair under local nerve blocked anesthesia is an up-to-date technology and is different from the traditional approach.The aim of this study is to evaluate the nursing and psychological tr...Tension-free inguinal hernia repair under local nerve blocked anesthesia is an up-to-date technology and is different from the traditional approach.The aim of this study is to evaluate the nursing and psychological treatment during operation under local nerve blocked anesthesia.展开更多
目的:探讨腹腔镜经腹膜前腹股沟疝修补术(TAPP)对腹股沟疝患者疼痛程度及皮质醇(Cor)、组织金属蛋白酶抑制物-2(TIMP-2)的影响。方法:选取2017年1月—2022年12月常熟市第五人民医院收治的102例腹股沟疝患者。根据随机数表法将其分为观...目的:探讨腹腔镜经腹膜前腹股沟疝修补术(TAPP)对腹股沟疝患者疼痛程度及皮质醇(Cor)、组织金属蛋白酶抑制物-2(TIMP-2)的影响。方法:选取2017年1月—2022年12月常熟市第五人民医院收治的102例腹股沟疝患者。根据随机数表法将其分为观察组和对照组,各51例。对照组给予传统腹股沟疝无张力修补术,观察组给予TAPP。比较两组围手术期指标,术后1 h、6 h、12 h、24 h疼痛程度,术前、术后24 h相关指标及并发症。结果:观察组术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。两组视觉模拟评分法(VAS)评分组间、时间、交互比较,差异有统计学意义(P<0.05)。与术后1 h比较,两组术后6 h、12 h VAS评分升高,对照组术后24 h VAS评分升高;与术后6 h比较,两组术后12 h、24 h VAS评分降低,与术后12 h比较,两组术后24 h VAS评分降低,观察组术后6 h、12 h、24 h VAS评分低于对照组,差异有统计学意义(P<0.05)。术后24 h,两组Cor水平升高,TIMP-2水平降低,观察组TIMP-2、Cor水平均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:与传统腹股沟疝无张力修补术比较,TAPP治疗腹股沟疝可减少术中出血量,缩短住院时间,缓解患者的疼痛感,调节Cor、TIMP-2水平,并且降低患者术后并发症发生率。展开更多
文摘Purpose: Analyzing the causes of pain after tension-free repair in the inguinal hernia, and propose corresponding treatment strategies. Results: The patients in this group were followed up for 3 - 12 months. A total of 5 patients still had pain relief within 3 months after surgery. Further treatment was needed, and the incidence rate was 5%. Conclusion: Skilled surgical procedures are performed in patients with local anesthesia, and some of the absorbable repair materials can be used. The improved patch fixation and extra peritoneal repair can reduce the pain after inguinal hernia repair without tension.
文摘Tension-free inguinal hernia repair under local nerve blocked anesthesia is an up-to-date technology and is different from the traditional approach.The aim of this study is to evaluate the nursing and psychological treatment during operation under local nerve blocked anesthesia.
文摘目的:探讨腹腔镜经腹膜前腹股沟疝修补术(TAPP)对腹股沟疝患者疼痛程度及皮质醇(Cor)、组织金属蛋白酶抑制物-2(TIMP-2)的影响。方法:选取2017年1月—2022年12月常熟市第五人民医院收治的102例腹股沟疝患者。根据随机数表法将其分为观察组和对照组,各51例。对照组给予传统腹股沟疝无张力修补术,观察组给予TAPP。比较两组围手术期指标,术后1 h、6 h、12 h、24 h疼痛程度,术前、术后24 h相关指标及并发症。结果:观察组术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。两组视觉模拟评分法(VAS)评分组间、时间、交互比较,差异有统计学意义(P<0.05)。与术后1 h比较,两组术后6 h、12 h VAS评分升高,对照组术后24 h VAS评分升高;与术后6 h比较,两组术后12 h、24 h VAS评分降低,与术后12 h比较,两组术后24 h VAS评分降低,观察组术后6 h、12 h、24 h VAS评分低于对照组,差异有统计学意义(P<0.05)。术后24 h,两组Cor水平升高,TIMP-2水平降低,观察组TIMP-2、Cor水平均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:与传统腹股沟疝无张力修补术比较,TAPP治疗腹股沟疝可减少术中出血量,缩短住院时间,缓解患者的疼痛感,调节Cor、TIMP-2水平,并且降低患者术后并发症发生率。
