Application of TAPP in treatment of adult incarcerated inguinal hernia

doi:10.3877/cma.j.issn.1674-392X.2019.02.021

Abstract

Abstract:

Objective

To study the application value of transabdominal preperitoneal prosthesis (TAPP) in the treatment of adult incarcerated inguinal hernia.

Methods

The clinical data of 64 patients of adult incarcerated inguinal hernia from January 2015 to May 2018 were retrospectively analyzed. According to the surgical approach, patients were divided into TAPP group (35 cases) and open group (open tension free hernia repair, 29 cases). The operative time, intraoperative bleeding volume, time to ambulation, postoperative hospitalization time and postoperative complications, were compared between the two groups.

Results

There were statistical significance differences in time to ambulation (3.7±2.3 hours vs 7.6±3.7 hours), postoperative hospitalization time (3.2±2.1 days vs 6.4±1.6 days) and overall incidence of complications (4/35 vs 12/29) between TAPP group and open group (P<0.05). There were no statistical significance differences in operation time (72.1±26.9 minutes vs 64.2±23.6 minutes), intraoperative blood loss (15.4±7.3 mL vs 11.7±6.1 mL), and postoperative complications between the two groups (P>0.05).

Conclusion

TAPP is a safe and effective operation for adult incarcerated inguinal hernia with the advantages of less trauma and rapid recovery.

Key words: Incarcerated hernia, Herniorrhaphy, Laparoscopes

Yuhang Chen, Xiaoming Liu, Haibo Li, Lingling Liang, Lingling Wang. Application of TAPP in treatment of adult incarcerated inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(02): 179-182.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2019.02.021

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2019/V13/I02/179

Figures/Tables 3

References 21

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组别	例数	年龄(岁, ±s)	男/女(例)	斜疝/直疝/股疝(例)	嵌顿时间(h, ±s)
TAPP组	35	52.1±8.2	30/5	24/9/2	4.9±0.8
开放组	29	49.5±7.8	26/3	21/7/1	4.7±1.1
统计值		t=2.450	χ²=0.001	χ²=0.437	t=1.862
P值		0.992	0.975	0.509	0.780

组别	例数	年龄(岁, ±s)	男/女(例)	斜疝/直疝/股疝(例)	嵌顿时间(h, ±s)
TAPP组	35	52.1±8.2	30/5	24/9/2	4.9±0.8
开放组	29	49.5±7.8	26/3	21/7/1	4.7±1.1
统计值		t=2.450	χ²=0.001	χ²=0.437	t=1.862
P值		0.992	0.975	0.509	0.780

组别	例数	手术时间(min)	术中出血量(mL)	术后下床时间(h)	术后住院时间(d)
TAPP组	35	72.1±26.9	15.4±7.3	3.7±2.3	3.2±2.1
开放组	29	64.2±23.6	11.7±6.1	7.6±3.7	6.4±1.6
t值		9.798	3.674	7.206	6.405
P值		1.000	1.000	0.000	0.000

组别	例数	手术时间(min)	术中出血量(mL)	术后下床时间(h)	术后住院时间(d)
TAPP组	35	72.1±26.9	15.4±7.3	3.7±2.3	3.2±2.1
开放组	29	64.2±23.6	11.7±6.1	7.6±3.7	6.4±1.6
t值		9.798	3.674	7.206	6.405
P值		1.000	1.000	0.000	0.000

组别	例数	尿潴留	术后疼痛/慢性疼痛	血肿/血清肿	补片感染	复发	总并发症
TAPP组	35	1	1/0	0/2	0	0	4
开放组	29	3	3/1	1/3	1	1	12
χ²值		1.332	2.236	1.004	-	-	4.515
P值		0.248	0.135	0.316	0.276	0.276	0.034

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