关键词: 完全腹膜外腹腔镜疝修补术, 经腹腔腹膜前腹腔镜疝修补术, 腹股沟疝气, 疗效

Abstract:

Objective To analyze the efficacy of totally extraperitoneal prosthesis (TEP) and

transabdominal preperitoneal prosthesis (TAPP) in the treatment of inguinal hernia. Methods 74 inguinal

hernia patients in Chibi People's Hospital from May 2017 to May 2020 were randomly selected and

divided into TEP group and TAPP group by random number method, with 37 patients in each group. TEP

group received TEP surgical treatment, and TAPP group received TAPP treatment. General indicators,

pain, inflammatory cytokine levels and complications were compared between the two groups. Results

The time of operation in TEP group was less than that in TAPP group (P ＜ 0.05), the time of bed

activity, length of hospital stay and intraoperative blood loss were more than that in TAPP group, and

the difference was not statistically significant(P ＞ 0.05). There was no significant difference in VAS

score between the two groups before treatment (P ＞ 0.05). VAS scores of patients in the TAPP group

2h and 12h after surgery were lower than those in the TEP group, but the difference was not statistically significant(P ＞ 0.05). There was no significant difference in interleukin-6, C-reactive protein and white

blood cell levels between the two groups (P ＞ 0.05). The levels of interleukin-6, C-reactive protein

and white blood cell in the TAPP group were lower than those in the TEP group, but the difference

was not statistically significant(P ＞ 0.05). The complication rate of TAPP group was lower than that

of TEP group (P ＜ 0.05). Conclusion Compared with TEP, TAPP has shorter operation time and less

postoperative complications and inflammatory reactions. It is reliable efficacy.

Key words: Totally extraperitoneal prosthesis, Transabdominal preperitoneal prosthesis, Inguinal hernia, Efficacy