Abstract:

Objective To investigate the clinical effect of preperitoneal tension-free herniorrhaphy on hernia in the elderly. Method The clinical data of 80 elderly hernia patients treated in Beijing Huimin Hospital from March 2015 to October 2019 were analyzed retrospectively. 38 cases underwent tension-free mesh repair and 42 cases underwent preperitoneal tension-free herniorrhaphy. The clinical efficacy and surgical data's of the two groups were compared and analyzed. Result Compared with the flat tension-free mesh repair group, the patients in the preperitoneal tension-free herniorrhaphy group had less bleeding, shorter operation time, recovery time and hospital stay, and the difference was significant (P were 0.015, 0.004, 0.006 and 0.012, respectively). There was no significant difference in postoperative pain between the two groups (P ＞ 0.05). No serious postoperative

complications occurred in the two groups, and there was no recurrence during the follow-up period. Conclusion Preperitoneal tension-free herniorrhaphy has better clinical effect than tension-free mesh repair on operation time, postoperative recovery. The therapeutic effect is safe and reliable, does not increase the probability of complications and recurrence.

Key words: Preperitoneal tension-free herniorrhaphy, Tension-free mesh repair, Inguinal hernia, Elderly, Clinical effect