Comparative Analysis of the Efficacy of Transabdominal Pre-Peritoneal Vs Open Tension-Free Hernia Repair in Treating Inguinal Hernia

Objective:To investigate and analyze the clinical outcomes of inguinal hernia patients treated with transabdominal pre-peritoneal repair(TAPP)versus open tension-free hernia repair.Methods:The study was carried out from January 2021 to August 2023,and a total of 50 inguinal hernia patients were selected for this study.The patients were randomly divided into a study group(n=25)and a control group(n=25)by the numerical table method.The patients in the control group were treated with open tension-free hernia repair,whereas the patients in the study group were treated with TAPP.The surgical and postoperative recovery indexes,complication rates,and recurrence rates of the two groups were compared.Results:There was no significant difference in the operative time and intraoperative blood loss between the two groups(P>0.05),and the postoperative feeding time,time out of bed,and hospitalization time of the study group were shorter than those of the control group(P<0.05);the incidence rate of postoperative complications in the study group was lower than that in the control group(P<0.05);and there was no significant difference in the recurrence rate of the two groups after operation(P>0.05).Conclusion:Compared to open tension-free hernia repair,TAPP offers a shorter postoperative recovery duration and hospitalization time,and reduces the incidence of complications.Therefore,this surgical method should be popularized in the treatment of inguinal hernia.

Analysis of the Effect and Efficiency of Tension- Free Hernia Repair and Traditional Surgery in The Treatment of Hernia

Objective: To analyze the efficiency of tension-free hernia repair and traditional surgery in the treatment of hernia. Methods: A total of 80 patients with hernias were selected and randomly into a control group (traditional hernia repair) and an observation group (tension-free hernia repair), of 40 cases each. The perioperative indicators, pain, physiological stress indicators, complications, and recurrence rates between the two groups were compared. Results: The perioperative indexes of the observation group were better than those of the control group (P < 0.05). The postoperative pain score, postoperative physiological stress index level, incidence of complications, and recurrence rate of the observation group were lower than those of the control group (P < 0.05). Conclusion: In the surgical treatment of hernia, tension-free hernia repair was less traumatic and had a better effect than traditional hernia repair.

Analysis of Ultrasound-guided Ilioinguinal and Iliohypogastric Nerve Block in Tension-Free Inguinal Hernia Repair in Elderly Patients

Objective:To explore the value of ultrasound-guided ilioinguinal and iliohypogastric nerve block(IINB)in tension-free inguinal hernia repair in elderly patients.Methods:A total of 70 elderly patients with tension-free inguinal hernia repair who treated in the hospital from April 2018 to November 2019 were selected and divided into two groups according to the random number table method,with 35 cases each.The control group underwent infiltration of local anesthesia(LA),and the study group added with IINB.The visual analogue scale(VAS)scores of the two groups of patients were compared.Results:The VAS score of the study group when pulling the hernia sac was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:IINB has good analgesic effect in tensionfree inguinal hernia repair in elderly patients,and it is worth promoting.

Analysis of the Causes of Chronic Pain after Inguinal Hernia Repair without Tension and Its Prevention and Treatment

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.

无肠坏死嵌顿疝Millikan无张力修补技术可行性的临床观察

目的探讨用Millikan无张力疝修补术式治疗无肠坏死嵌顿性腹股沟疝和股疝的方法和效果。方法2012年7月至2018年6月本科室收治的100例无肠坏死嵌顿性腹股沟疝和股疝,分为传统疝修补法(对照组n=53)和Millikan无张力疝修补法(观察组n=47)。观察并比较两组患者的住院天数、手术时间、术中出血量、卧床时间、术后伤口感染、腹股沟区疼痛,随访术后阴囊肿胀、术后复发。结果观察组卧床时间(27.83±5.75)h,住院天数(5.62±1.24)d相比对照组卧床时间(39.13±7.16)h,住院天数(7.75±1.60)d明显缩短,差异有统计学意义(P<0.05)。采用视觉模拟评分法(visual analogue scale,VAS)对两组患者腹股沟区疼痛程度进行评分,观察组术后24h、48h疼痛情况明显好于对照组(P<0.05),7d时两组疼痛无明显差异(P>0.05),所有患者术后3个月术区疼痛均减轻、消失,无患者因长期慢性疼痛影响生活质量。观察组平均手术时间、术中出血量、术后切口感染率与对照组的比较,差异无统计学意义(P>0.05)。术后随访5~72个月,观察组术后未出现复发,对照组复发率13.2%,观察组术后复发率明显低于对照组(χ^2=4.800,P<0.05)。结论Millikan无张力疝修补术治疗无肠坏死嵌顿性腹股沟疝和股疝,患者耐受性好,临床疗效确切,具有卧床时间短,术后住院天数短,术后腹股沟区疼痛率低,随访复发率低等优点,是一种安全可供选择的治疗无肠管坏死腹股沟嵌顿疝的手术方式。

Millikan无张力疝修补术治疗腹股沟疝整体护理干预

目的：探讨Millikan无张力疝修补术治疗腹股沟疝整体护理干预效果。方法：随机抽取2012年8月到2014年8月期间我院收治的108例腹股沟疝患者，均采用Millikan无张力疝修补术治疗，按照随机性原则，将患者平均分为两组，对照组和观察组，每组54例，对照组采用一般护理方法，观察组患者则例行整体护理干预，对比两组患者临床护理效果。结果：观察组患者的住院时间、并发症发生率明显少于对照组患者住院时间和并发症发生率，且差异显著，有统计学意义（P＜0.05）；观察组护理满意度明显高于对照组，差异显著，有统计学意义（P＜0.05）。结论：Millikan无张力疝修补术治疗腹股沟疝整体护理干预的应用，临床效果好，值得推广与应用。

复发性腹股沟疝修补60例临床报道

目的了解复发性腹股沟疝修补手术的手术效果。方法对我院普外科收治的60例腹股沟复发疝手术进行回顾分析。第一次手术方式：传统手术52例次,其中Bassini法34例次,Halsted法18例次,方法不明8例次。二次及三次复发者均为传统疝修补方法。无张力疝修补术4例次,为3DP补片修补。结果全部病例均一期愈合,随访1-6年无复发。结论正确确认腹横筋膜层,充分游离腹膜前间隙,网塞正确、可靠的固定是手术成功的关键。Millikan术式治疗复发性腹股沟疝效果良好。

Millikan无张力疝修补术治疗腹股沟疝临床体会

目的探讨Millikan 无张力疝修补术治疗腹股沟疝临床体会.方法：选取2012 年11 月～2013 年06 月我院收治的腹股沟疝患者50 例,按硬币法将其分成实验组25 例,对照组25 例,实验组病例行Millikan 无张力疝修补术,对照组行Bassini 疝修补术,比较临床效果.结果：两组病例均顺利完成治疗,实验组并发症发生率为11.0%,复发率为0.0%,与对照组的28.0%、16.0%相比,差异有统计学意义（P〈0.05）.结论：Millikan 无张力疝修补术治疗腹股沟疝,疗效满意,并发症发生率低,复发率低,值得临床推广.

Millikan 无张力疝修补术治疗腹股沟疝

目的：探讨 Millikan 无张力疝修补术治疗腹股沟疝的临床应用效果。方法研究组给予 Millikan 无张力疝修补术，对照组给予 Rutkow 疝环充填式手术，记录两组治疗及预后情况，将所得数据经专业分析（统计学）后获得结论。结果研究组与对照组手术时间比较差异未见统计学意义（P ﹥0.05），但研究组住院时间显著少于对照组（P ﹤0.05）；研究组并发症发生率（9.30％）、随访复发率（2.33％）均显著低于对照组（30.23％、20.93％， P ﹤0.05）。结论 Millikan 无张力疝修补术治疗腹股沟疝患者疗效及预后均较为满意，有利于患者尽快恢复健康并保障其生活质量。