关键词: 残端疝囊, 经腹腹膜前疝修补术, 腹股沟斜疝

Abstract:

Objective To explore the effects of different residual hernia sac management methods in laparoscopic transabdominal preperitoneal prosthetic(TAPP) and their impact on quality of life. Method 98 patients with inguinal hernia admitted to our hospital from January 2021 to December 2023 were randomly divided into two groups, with 49 patients in each group. All patients received TAPP treatment. The control group underwent complete dissection during the operation, while the experimental group underwent cross-sectional treatment. Compare the surgical related indicators, postoperative pain level, quality of life score, and incidence of postoperative complications between two groups. Result There were no significant differences in operative time, intraoperative blood loss, or VAS scores on postoperative day 1 and day 7 between the two groups (P ＞ 0.05). However, the experimental group exhibited significantly less groin area fluid accumulation, shorter hospitalization duration, and lower VAS scores on postoperative day 3 compared to the control group (all P ≤ 0.001). Preoperative quality of life scores showed no significant differences between the two groups (P ＞ 0.05). At 3 months post-operation, the experimental group demonstrated significantly higher quality of life scores across all domains compared to the control group (all P ＜ 0.001). The overall postoperative complication rate in the experimental group was 6.12%, significantly lower than the control group (22.45%) (P ＜ 0.05). Conclusion Transection of the residual hernia sac during TAPP surgery can reduce fluid accumulation in the inguinal area, alleviate pain, improve quality of life, and promote patient discharge as soon as possible.

Key words: Residual hernia sac, Transabdominal preperitoneal prosthetic, Indirect inguinal hernia