关键词: 经腹腹膜前疝修补术, 开放式无张力疝修补术, 成人腹股沟疝, 并发症, 应激指标

Abstract:

Objective To observe the difference between laparoscopic transperitoneal preperitoneal prosthesis (TAPP) and open tension free hernioplasty (OTFH) in the treatment of adult inguinal hernia. Method 80 adult patients with inguinal hernia admitted to Guiping People's Hospital from January 2019 to December 2021 were selected and divided into the observation group (TAPP treatment) and the control group (OTFH treatment) according to the random number table. Record the surgical indicators of patients, compare the changes of stress indicators, evaluate the clinical efficacy and follow up the complications. Result The operation time and activity time of the patients in the observation group were shorter than those in the control group, and the amount of intraoperative bleeding was less than that in the control group, with significant differences (P ＜ 0.05), but there was no significant difference in the hospital stay between the two groups (P ＞ 0.05). After operation, the levels of stress indicators in both groups were increased, while those in the control group were significantly higher; The levels of stress indexes in the observation group were significantly higher than those in the control group (P＜0.05). There was no significant difference in the total effective rate between the two groups (97.50% vs 92.50%, P=0.608). The total incidence of complications in the observation group was lower than that in the control group (20.00%), with a significant difference (P ＜ 0.05). Conclusion TAPP is more effective and safe than OTFH in treating adult inguinal hernia.

Key words: Transabdominal preperitoneal prosthesis, Open tension-free hernioplasty, Adult inguinal hernia, Complication, Stress indicators