Clinical experience of tension-free hernia repair in the treatment of elderly patients

doi:10.3877/cma.j.issn.1674-392X.2018.06.012

Abstract

Abstract:

Objective

To investigate the clinical experience of tension-free hernia repair in the treatment of elderly inguinal hernia.

Methods

A total of 50 elderly patients with inguinal hernia admitted to Shanghai Fengxian Central Hospital from January 2017 to December 2017 were enrolled. All patients underwent tension-free hernia repair. The surgical indicators, VAS scores and complications were evaluated.

Results

All patients underwent surgery successfully. The operation time was (41.69±7.09) minutes, the time to activity was (17.05±6.92) hours, the length of hospital stay was (5.44±1.35) days, and the VAS score was (1.55±0.58) scores. The incidence of postoperative complications in this series was 18%, including 3 cases of scrotal hemorrhage, 2 cases of wound infection, and 4 cases of urinary retention. All patients were discharged uneventfully.

Conclusion

Tension-free hernia repair is effective in the treatment of elderly inguinal hernia. It is worthy of promotion.

Key words: Hernia, inguinal, Tension-free hernia repair, Old age

Haiqing Zhang, Guangjun Zhang, Zhi Yang, Yuanzhou Shan, Xueli Zhang, Wenjie Wang. Clinical experience of tension-free hernia repair in the treatment of elderly patients[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(06): 444-446.

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References 12

[1]	宋龙基. 局麻下无张力疝修补术在老年腹股沟疝患者中的临床应用观察[J]. 甘肃科技, 2018, 34(13): 119-120.
[2]	王传强. 探讨腹股沟无张力疝修补术对老年腹股沟直疝患者的临床疗效分析[J]. 中国医药指南, 2018, 16(11): 25-26.
[3]	李虎. 局麻下无张力疝修补术治疗老年腹股沟疝的临床效果[J]. 临床医学研究与实践, 2017, 2(32): 68-69.
[4]	毛文书. 从预后角度评价疝环充填式无张力疝修补术对于老年腹股沟疝治疗的临床价值[J/CD]. 现代医学与健康研究电子杂志, 2017, 1(4): 69-72.
[5]	李积军. 局麻腹膜前间隙疝修补术治疗老年腹股沟疝的临床体会[J]. 青海医药杂志, 2017, 47(5): 18-19.
[6]	简委. 无张力疝修补术治疗36例腹股沟疝的临床体会[J]. 河南外科学杂志, 2016, 22(6): 65.
[7]	季大国. 加强无张力疝修补术规范化在老年腹股沟疝治疗中的临床研究[J/CD]. 临床医药文献电子杂志, 2016, 3(34): 6769.
[8]	于海英,赵海峰,由凤双, 等. 老年人腹股沟疝行无张力疝修补术的护理体会[J]. 当代医学, 2016, 22(14): 97-98.
[9]	周华明. 无张力疝修补术治疗老年单侧腹股沟疝41例临床观察[J]. 中国民族民间医药, 2016, 25(5): 101-103.
[10]	夏峰. 无张力疝修补术治疗腹股沟复发疝临床体会[J]. 深圳中西医结合杂志, 2016, 26(4): 126-127.
[11]	秦周礼. 老年腹股沟疝行平片无张力疝修补术治疗的临床效果观察[J]. 中国社区医师, 2015, 31(36): 43-44.
[12]	马忠良. 无张力疝修补术治疗老年腹股沟疝的临床效果分析[J/CD]. 临床医药文献电子杂志, 2018, 5(69): 48.

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