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Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (03): 247-250. doi: 10.3877/cma.j.issn.1674-392X.2020.03.009

Special Issue:

• Clinical Article • Previous Articles     Next Articles

Application of hybridization technique in the treatment of adult inguinal hernia

Wenyong Luo1,(), Aiqin Feng2, Dejun Qin3, Xiangjuan Yin4   

  1. 1. Department of Gastrointestinal Thyroid Surgery, The First People's Hospital of Huizhou City, Huizhou 516001, China
    2. Comprehensive Welfare Institute of Huizhou, Huizhou 516000, China
    3. Surgical Department, Zhongxin Huizhou Hospital, Huizhou 516000, China
    4. Medical Record Department, Zhongxin Huizhou Hospital, Huizhou 516000, China
  • Received:2019-11-17 Online:2020-06-18 Published:2020-06-18
  • Contact: Wenyong Luo
  • About author:
    Corresponding author: Luo Wenyong, Email:

Abstract:

Objective

To investigate the application effect and safety of hybridization technique in the treatment of adult inguinal hernia.

Methods

To select 114 adult patients from The First People's Hospital of Huizhou City (n=53) and Zhongxin Huizhou Hospital (n=61) with incarcerated hernia between February 2016 to May 2019 divide them into groups A, B and C randomly. Group A was given hybrid technique for hernia repair, group B was treated with conventional incision tension-free hernia repair, and group C was treated with laparoscopic tension-free hernia repair. Compare the clinical efficacy, surgical index, recovery index and postoperative complication rate between the two groups.

Results

The total effective rate of clinical efficacy was 97.37% in group A, which was significantly higher than that in group B and C. The longest operation time in group A was (90.23±15.10) minutes and the maximum amount of intraoperative blood loss was (14.95±1.87) ml. Bed time (21.34±6.27) hours was significantly shorter than A and B, and group C was the shortest (3.50±1.11) days, the difference was statistically significant (P<0.05). There was no difference in bedtime after operation in group A and B. Statistical significance (P>0.05), the highest postoperative complications in group B was 23.68%, the difference was statistically significant (P<0.05), but there was no significant difference in the incidence of postoperative complications in group A and C (P>0.05).

Conclusion

Hybridization technique can significantly improve the clinical efficacy in the treatment of adult inguinal hernia, but it is safe, safe and reliable. However, it is necessary to strictly evaluate the patient's condition before surgery. If the incarceration time is longer, the symptoms of peritoneal inflammation need to be early. Traditional open surgery is performed to improve the prognosis of patients.

Key words: Hybridization technique, Incarcerated hernia, Laparoscopes

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