Application of preventive vacuum drainage tube in laparoscopic totally extraperitoneal hernia repair and its therapeutic effect

doi:10.3877/cma.j.issn.1674-392X.2020.04.008

Abstract

Abstract:

Objective

To investigate the application of preventive vacuum drainage tube in laparoscopic totally extraperitoneal hernia repair (TEP) and its therapeutic effect.

Methods

72 cases of adult inguinal hernia patients admitted to Ninth People's Hospital of Suzhou from May 2016 to November 2019 were selected and divided into two groups randomly, with 36 patients in each group. The control group was treated with TEP without preventive vacuum drainage. The research group was treated with TEP with preventive vacuum drainage. The therapeutic effects of the two groups were observed and compared.

Results

There was no difference in intraoperative blood loss between the two groups (P>0.05). The duration of operation, length of hospitalization and postoperative time of getting out of bed in the study group were all more than those in the control group (P<0.05). The incidence of postoperative complications in the study group was lower than that in the control group (P<0.05).

Conclusion

Considering that most seromas do not need clinical intervention and the strong absorption capacity of peritoneum itself, the preventive placement of vacuum drainage tube is not regular recommended.

Key words: Hernia, inguinal, Laparoscopes, Herniorrhaphy, Vacuum drainage, Seroma

Hemei Zhou, Liqiang Qian, Gang Wang. Application of preventive vacuum drainage tube in laparoscopic totally extraperitoneal hernia repair and its therapeutic effect[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(04): 355-358.

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References 22

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组别	例数	手术时间(min)	下床活动时间(h)	住院天数(d)	手术出血量(ml)
对照组	36	37.3±10.5	2.4±1.2	2.9±1.6	23.9±5.9
研究组	36	47.8±7.6	2.9±1.3	3.6±1.2	24.7±5.2
t值	?	12.764	10.473	12.173	14.862
P	?	<0.05	<0.05	<0.05	>0.05

组别	例数	手术时间(min)	下床活动时间(h)	住院天数(d)	手术出血量(ml)
对照组	36	37.3±10.5	2.4±1.2	2.9±1.6	23.9±5.9
研究组	36	47.8±7.6	2.9±1.3	3.6±1.2	24.7±5.2
t值	?	12.764	10.473	12.173	14.862
P	?	<0.05	<0.05	<0.05	>0.05

组别	例数	阴囊不适	血清肿	尿潴留	发生率(%)
对照组	36	5	5	4	38.9
研究组	36	2	0	1	8.3
χ²值	?	4.762	5.918	5.719	5.973
P	?	<0.05	<0.05	<0.05	<0.05

组别	例数	阴囊不适	血清肿	尿潴留	发生率(%)
对照组	36	5	5	4	38.9
研究组	36	2	0	1	8.3
χ²值	?	4.762	5.918	5.719	5.973
P	?	<0.05	<0.05	<0.05	<0.05

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