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 fr...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.展开更多
Hernia is a common problem of the modern world with its incidence more in developing countries. Inguinal hernia is the most common groin hernia repaired worldwide. With advancement in technology operative techniques o...Hernia is a common problem of the modern world with its incidence more in developing countries. Inguinal hernia is the most common groin hernia repaired worldwide. With advancement in technology operative techniques of repair have also evolved. A Pub Med and COCHRANE database search was accomplished in this regard to establish the current status of laparoscopic inguinal hernia repair in view of recent published literature. Published literature support that laparoscopic hernia repair is best suited for recurrent and bilateral inguinal hernia although it may be offered for primary inguinal hernia if expertise is available.展开更多
目的研究腔镜手术与开放手术在新生儿膈疝治疗中的效果及对并发症的影响。方法回顾性收集2012年1月至2020年2月在本院新生儿科诊治的新生儿膈疝40例,根据手术方法分为腔镜组(n=20)和开放组(n=20),腔镜组患儿应用腔镜下膈疝修补术治疗,...目的研究腔镜手术与开放手术在新生儿膈疝治疗中的效果及对并发症的影响。方法回顾性收集2012年1月至2020年2月在本院新生儿科诊治的新生儿膈疝40例,根据手术方法分为腔镜组(n=20)和开放组(n=20),腔镜组患儿应用腔镜下膈疝修补术治疗,开放组患儿应用开放性膈疝修补术治疗,比较两组患儿手术指标、术后恢复指标、并发症发生情况及复发率。结果腔镜组患儿手术时间长于开放组,差异有统计学意义(P<0.001);腔镜组患儿手术切口长度、术中出血量、机械通气时间、抗生素使用时间、术后住院时间均低于开放组,差异有统计学意义(P<0.001);两组患儿术中输血率、术中使用补片率、胸腔积液率、术后24 h PCO2水平比较,差异均无统计学意义(P>0.05);腔镜组并发症总发生率(10.00%)低于开放组(40.00%),差异有统计学意义(P<0.05);腔镜组术后3个月复发率为5.00%,略高于开放组的0,差异无统计学意义(P>0.05)。结论腔镜下膈疝修补术在新生儿膈疝治疗中疗效肯定,手术对患儿的创伤小,术后并发症少,利于患儿早日康复,值得临床推广。展开更多
文摘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.
文摘Hernia is a common problem of the modern world with its incidence more in developing countries. Inguinal hernia is the most common groin hernia repaired worldwide. With advancement in technology operative techniques of repair have also evolved. A Pub Med and COCHRANE database search was accomplished in this regard to establish the current status of laparoscopic inguinal hernia repair in view of recent published literature. Published literature support that laparoscopic hernia repair is best suited for recurrent and bilateral inguinal hernia although it may be offered for primary inguinal hernia if expertise is available.
文摘目的研究腔镜手术与开放手术在新生儿膈疝治疗中的效果及对并发症的影响。方法回顾性收集2012年1月至2020年2月在本院新生儿科诊治的新生儿膈疝40例,根据手术方法分为腔镜组(n=20)和开放组(n=20),腔镜组患儿应用腔镜下膈疝修补术治疗,开放组患儿应用开放性膈疝修补术治疗,比较两组患儿手术指标、术后恢复指标、并发症发生情况及复发率。结果腔镜组患儿手术时间长于开放组,差异有统计学意义(P<0.001);腔镜组患儿手术切口长度、术中出血量、机械通气时间、抗生素使用时间、术后住院时间均低于开放组,差异有统计学意义(P<0.001);两组患儿术中输血率、术中使用补片率、胸腔积液率、术后24 h PCO2水平比较,差异均无统计学意义(P>0.05);腔镜组并发症总发生率(10.00%)低于开放组(40.00%),差异有统计学意义(P<0.05);腔镜组术后3个月复发率为5.00%,略高于开放组的0,差异无统计学意义(P>0.05)。结论腔镜下膈疝修补术在新生儿膈疝治疗中疗效肯定,手术对患儿的创伤小,术后并发症少,利于患儿早日康复,值得临床推广。
