关键词: 腹股沟疝, 腹腔镜经腹腹膜前疝修补术, 无张力疝修补术, 炎症反应, 并发症

Abstract:

Objective To investigate the efficacy of laparoscopic transabdominal preperitoneal prosthesis (TAPP) and open pre peritoneal tension-free hernia repair in the treatment of inguinal hernia. Method 80 patients with inguinal hernia admitted to the Second People’s Hospital of Xiangcheng District in Suzhou City from January 2022 to October 2024 were selected for the study. They were divided into two groups of 40 patients each ac-cording to the surgical method. The control group received open peritoneal tension-free hernia repair surgery, while the observation group received laparoscopic TAPP treatment. The perioperative infl ammatory response indicators, postoperative recovery, and incidence of complications were compared between the two groups of patients. Result On postoperative day 1, serum C-reactive protein, procalcitonin, and neutrophil percentage signifi cantly increased in both groups, while the observation group was signifi cantly lower than the control group (P ＜ 0.01). The recov-ery time of bowel sounds, anal exhaust time, spontaneous activity time, and hospitalization time of the observation group patients were shorter than those of the control group, and the pain level at 12 hours, 24 hours, and 48 hours after surgery was milder than that of the control group, with signifi cant diff erences (P ＜ 0.001). The incidence of complications in the observation group (5.00%) was signifi cantly lower than that in the control group (22.50%) (χ2=5.165, P=0.023). Conclusion Compared with open retroperitoneal tension-free hernia repair, laparoscopic TAPP has more advantages in treating inguinal hernia, promoting rapid postoperative recovery, reducing infl amma-tion and early pain, and minimizing postoperative complications.

Key words: Inguinal hernia, Laparoscopic transabdominal preperitoneal prosthesis, Tension-free hernia repair surgery, Infl ammatory response, Complication