Application effect analysis of self-fixation mesh and polypropylene mesh in laparoscopic transabdominal preperitioneal laparoscopie herniorrhaphy

doi:10.3877/cma.j.issn.1674-392X.2022.01.014

Abstract

Abstract:

Objective

To compare the application effect of self-fixation mesh and polypropylene mesh in laparoscopic transabdominal preperitioneal laparoscopie herniorrhaphy (TAPP).

Methods

The clinical data of 164 patients with inguinal hernia admitted to our hospital from Febuary 2016 to Febuary 2020 were retrospectively analyzed, and they were divided into the experiment group and the control group according to different intraoperative mesh, with 82 cases in each group. The 2 group all underwent TAPP operation, the experiment group used self-fixation mesh in the operation, and the control group used polypropylene mesh in the operation, both groups were followed up for an average of one year. The clinical indicators and the incidence of postoperative complications of the two groups were compared between the two groups.

Results

In terms of surgical indicators, the patch placement time of the experimental group was significantly longer than that of the control group (P<0.05), and the operation time of the experimental group was significantly longer than that of the control group (P<0.05), and the cost of the experimental group was significantly higher than that of the control group (P<0.05). There was no statistical significance in the postoperative hospital stay and incidence of intraoperative complications between the two groups (P>0.05). The VAS scores of the two groups showed a downward trend from 1 day to 3 months after operation (P<0.05), and the experiment group was significantly lower than the control group at each time point after operation (P<0.05). The incidence of total complications in the experimental group was not significantly different from that in the control group (24.39% vs 32.93%), but the incidence of foreign body sensation in the experimental group was significantly lower than that in the control group (1.22% vs 4.88%). No recurrence occurred in the two groups during the follow-up period.

Conclusion

Compared with polypropylene mesh, the application of TAPP intraoperative self-fixation mesh increases the cost of patients, but is beneficial to the postoperative recovery of patients with inguinal hernia, with less pain and no increased risk of postoperative recurrence.

Key words: Hernia, inguinal, Self-fixation mesh, Polypropylene mesh, Laparoscopic, Pain

Wang Xiao, Luyao Liu, Mingming Wang, Lihua Liu. Application effect analysis of self-fixation mesh and polypropylene mesh in laparoscopic transabdominal preperitioneal laparoscopie herniorrhaphy[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(01): 62-65.

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References 17

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组别	例数	手术时间(min,±s)	术后住院时间(d,±s)	铺片耗时(min,±s)	血管损伤[例(%)]	输精管损伤[例(%)]	膀胱损伤[例(%)]	住院花费(元,±s)
试验组	82	72.78±18.26	3.21±1.04	24.75±3.82	3(3.66)	0(0)	0(0)	11 924.85±1377.22
对照组	82	58.43±19.37	3.15±0.98	7.68±4.56	2(2.44)	0(0)	0(0)	6733.29±899.71
t/χ²值		1.180	0.238	2.786	3.765			-1.732
P值		>0.05	>0.05	<0.05	>0.05			<0.05

组别	例数	手术时间(min,±s)	术后住院时间(d,±s)	铺片耗时(min,±s)	血管损伤[例(%)]	输精管损伤[例(%)]	膀胱损伤[例(%)]	住院花费(元,±s)
试验组	82	72.78±18.26	3.21±1.04	24.75±3.82	3(3.66)	0(0)	0(0)	11 924.85±1377.22
对照组	82	58.43±19.37	3.15±0.98	7.68±4.56	2(2.44)	0(0)	0(0)	6733.29±899.71
t/χ²值		1.180	0.238	2.786	3.765			-1.732
P值		>0.05	>0.05	<0.05	>0.05			<0.05

组别	例数	术后1 d	术后7 d	术后1个月	术后3个月	F值	P值
试验组	82	2.37±0.95	1.59±0.67	0.73±0.41	0.28±0.24	69.828	<0.05
对照组	82	3.26±1.07	2.64±0.59	1.58±0.46	0.63±0.35	95.732	<0.05
t值		3.519	6.653	7.803	4.665
P值		<0.05	<0.05	<0.05	<0.05

组别	例数	术后1 d	术后7 d	术后1个月	术后3个月	F值	P值
试验组	82	2.37±0.95	1.59±0.67	0.73±0.41	0.28±0.24	69.828	<0.05
对照组	82	3.26±1.07	2.64±0.59	1.58±0.46	0.63±0.35	95.732	<0.05
t值		3.519	6.653	7.803	4.665
P值		<0.05	<0.05	<0.05	<0.05

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