关键词: 腹腔镜, 腹膜外间隙, 内环口, 缩窄, 补片, 腹股沟斜疝

Abstract:

Abstract: Objective To study the value of laparoscopic extraperitoneal space inner ring orifice narrowing combined with patch therapy in surgical treatment of patients with huge inguinal hernia. Methods According to the random number table method, 82 patients with giant indirect inguinal hernia treated by General Surgery of Dongguan Dalang Hospital from January 2020 to September 2020 were divided into observation group and control group with 41 cases each. The observation group took laparoscopic peritoneum constriction of the inner ring of the outer space and patch treatment, the control group took complete extraperitoneal space hernia repair treatment, and compared the effective rate of surgical treatment, the length of operation, the length of time to get out of bed after the operation, the length of hospitalization, and the postoperative period of the two groups. Results The effective rate of surgical treatment in the observation group was improved compared with the statistical results of the control group (P<0.05); the overall time spent getting out of bed and walking after the operation in the observation group, the overall time spent in hospitalization and the statistical results of the control group were lower. The duration is longer (P<0.05); the incidence of postoperative complications in the observation group is lower than the statistical results of the control group (P<0.05); the recurrence rate of the observation group after surgery is not significantly different from the statistical results of the control group (P>0.05). Conclusion For patients with huge indirect inguinal hernia, laparoscopic extraperitoneal space internal ring orifice narrowing combined with patch treatment has a better surgical treatment effect, reduction of the related complications.

Key words: Laparoscopy, Extraperitoneal space, Inner orifice, Narrowing, Patch therapy, Inguinal hernia