关键词: 改良, 完全腹膜外腹腔镜疝修补术, 腹股沟疝

Abstract:

Objective Analyze the clinical effi cacy of totally extraperitoneal laparoscopic hernia repair (TEP) in the treatment of inguinal hernia patients. Method Eighty male patients with initial inguinal hernia admitted to the Dongting Branch of Xishan People's Hospital in Wuxi from January 2018 to May 2023 were selected and divided into a control group (n=40, who underwent open tension-free hernia repair surgery) and an observation group (n=40, who underwent modifi ed TEP) based on diff erent surgical procedures. Analyze perioperative indicators, spermatic vein diameter, spermatic vein blood flow velocity, incidence of complications, and Nottingham health profile (NHP) scores for two groups of patients. Result The surgical time, hospitalization time, and anal exhaust time of the observation group patients were shorter than those of the control group, and the incidence of postoperative complications was lower than that of the control group, with signifi cant diff erences (P ＜ 0.05). Before surgery, there was no signifi cant diff erence in the diameter and blood fl ow velocity of the spermatic vein between the two groups of patients (P ＞ 0.05); Two weeks after surgery, the diameter of the spermatic vein in the observation group was smaller than that in the control group, and the blood fl ow velocity of the spermatic vein was faster than that in the control group, with a signifi cant diff erence (P ＜ 0.05). Before surgery, there was no signifi cant diff erence in NHP scores between the two groups of patients (P ＞ 0.05); Two weeks after surgery, the NHP scores in all dimensions of the two groups of patients decreased compared to before surgery, but the observation group was signifi cantly lower than the control group, with a signifi cant diff erence (P ＜ 0.05). Conclusion The improved TEP treatment for inguinal hernia patients has shown good therapeutic eff ects, minimal damage to the spermatic vein, and faster postoperative recovery.

Key words: Improve, Totally extraperitoneal laparoscopic hernia repair, Inguinal hernia