Abstract:
Objective To compare the clinical effect of TEP and patch repairing for inguinal hernia with long term anticoagulant drug using.
Methods From April 2017 to April 2018, a retrospective analysis was conducted on 52 patients (aged from 53 to 82) of inguinal hernia with long term anticoagulant drug using who were performed with TEP (25 patients) or patch repairing (27 patients) in the Eighth Affiliated Hospital, Sun yat-sen University. No recurrence and patch infection were found after a period of follow-up for more than 3 months. The differences in operation time, postoperative drainage, hematoma, inguinal nerve sensory abnormalities or pain of the two groups were compared.
Results There were no severe cardiac and cerebral vascular complications in two groups. The operation time of the TEP group and patch repair group was (55.2±10.3) minutes and (32.4±4.3) minutes, respectively (P<0.05). The incidence of hematoma was 28% and 3.7%, respectively (P<0.05), the difference was statistically significant. The drainage of the two groups were (40.8±8.6) ml and (36.6±5.2) ml (P>0.05). The incidence of inguinal nerve sensory abnormalities or pain in TEP group and patch repair group was 8% and 7.4% (P>0.05).
Conclusion Long term anticoagulant drug using is not surgical contraindication for patients with inguinal hernia. It's safe for patients to choose appropriate anesthesia and operating methods.
Key words:
Hernia, inguinal,
Herniorrhaphy,
Laparoscopes,
Anticoagulant drug
Yexing Liu, Donghui Zhang, Zhehong Zhuang, Jianbao Zhang, Chaojun Zhang, Zhihao Liang. Control study in clinical effect of TEP versus patch repairing for inguinal hernia with long term anticoagulant drug using[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(01): 47-50.