Clinical analysis of the effects of antithrombotic drugs on postoperative bleeding after inguinal hernia repair

doi:10.3877/cma.j.issn.1674-392X.2020.03.004

Abstract

Abstract:

Objective

To investigate the influencing factors of postoperative bleeding after inguinal hernia repair and the effects of oral antithrombotic agents.

Methods

A retrospective analysis was conducted on 559 patients who received inguinal hernia repair in the First Affiliated Hospital of Chongqing Medical University from January 2018 to December 2018. The general information, surgical methods, timing of surgery, types of antithrombotic drugs used were studied and the relationship between bleeding complications was analyzed.

Results

A total of 559 inguinal hernia patients were collected. Age, gender, surgical method, timing of surgery, initial or recurrent hernia, and types of antithrombotic drugs had no significant correlation with postoperative bleeding. According to the investigation results of severe bleeding, severe bleeding was mainly related to vascular injury.

Conclusion

Reasonable deactivation and bridging of antithrombotic drugs and avoid omission of injured blood vessels are important condition for reducing postoperative bleeding in inguinal hernia repair.

Key words: Hernia, inguinal, Herniorrhaphy, Postoperative bleeding, Surgical method, Antithrombotic drugs

Xuehu Wang, Yu Zhao. Clinical analysis of the effects of antithrombotic drugs on postoperative bleeding after inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 224-227.

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References 13

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?		年龄(岁,±s)	性别[例(%)]		手术部位[例(%)]		手术方式[例(%)]		手术次数[例(%)]
?		年龄(岁,±s)	男性	女性	单侧	双侧	腹腔镜	开放	初发疝	复发疝
未出血组	(239例)	63.52±15.77	399(78.7)	40(76.9)	303(77.9)	136(80)	119(83.8)	320(76.7)	432(78.8)	7(63.6)
出血组	(120例)	62.53±15.80	108(21.3)	12(23.1)	86(22.1)	34(20.0)	23(16.2)	97(23.3)	116(21.2)	4(36.4)
统计值	?	1.005	0.088	?	0.312	?	3.136	?	1.477	?
P值	?	0.476 0	0.767	?	0.577	?	0.077	?	0.224	?
?			抗栓药[例(%)]		手术时机[例(%)]		抗栓药物[例(%)]				住院时间(d,±s)
?			无药	有药	择期	急诊	ASA	RX	AT-X	WF	住院时间(d,±s)
未出血组	(239例)		394(80.9)	48(69.6)	420(78.5)	19(79.2)	26(70.3)	12(52.2)	3(75)	4(80)	7.42±4.75
出血组	(120例)		93(19.1)	21(30.4)	115(21.5)	5(20.8)	11(29.7)	11(47.8)	1(25)	1(20)	7.66±3.85
统计值		?	4.297	?	0.006	?	2.792	?	?	?	1.523
P值		?	0.038	?	1.000	?	0.425	?	?	?	0.003

?		年龄(岁,±s)	性别[例(%)]		手术部位[例(%)]		手术方式[例(%)]		手术次数[例(%)]
?		年龄(岁,±s)	男性	女性	单侧	双侧	腹腔镜	开放	初发疝	复发疝
未出血组	(239例)	63.52±15.77	399(78.7)	40(76.9)	303(77.9)	136(80)	119(83.8)	320(76.7)	432(78.8)	7(63.6)
出血组	(120例)	62.53±15.80	108(21.3)	12(23.1)	86(22.1)	34(20.0)	23(16.2)	97(23.3)	116(21.2)	4(36.4)
统计值	?	1.005	0.088	?	0.312	?	3.136	?	1.477	?
P值	?	0.476 0	0.767	?	0.577	?	0.077	?	0.224	?
?			抗栓药[例(%)]		手术时机[例(%)]		抗栓药物[例(%)]				住院时间(d,±s)
?			无药	有药	择期	急诊	ASA	RX	AT-X	WF	住院时间(d,±s)
未出血组	(239例)		394(80.9)	48(69.6)	420(78.5)	19(79.2)	26(70.3)	12(52.2)	3(75)	4(80)	7.42±4.75
出血组	(120例)		93(19.1)	21(30.4)	115(21.5)	5(20.8)	11(29.7)	11(47.8)	1(25)	1(20)	7.66±3.85
统计值		?	4.297	?	0.006	?	2.792	?	?	?	1.523
P值		?	0.038	?	1.000	?	0.425	?	?	?	0.003

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