Comparative analysis of the effect and safety of laparoscopic repair and open tension-free repair for inguinal hernia in elderly patients

doi:10.3877/cma.j.issn.1674-392X.2018.01.008

Abstract

Abstract:

Objective

Compare the effect and safety of laparoscopic repair and open tension-free repair for inguinal hernia in elderly patients.

Methods

118 cases of elderly patients with inguinal hernia in Shunde affiliated hospital of Guangzhou Medical University were selected and divided into study group and control group according to the different treatment methods, with 59 cases in each group. Study group was treated with laparoscopic repair, while control group was treated with open tension-free repair. The operation details, postoperative pain and complications of the 2 groups were analyzed.

Results

The operation time, length of hospital stay and postoperative bed time of study group were shorter than those of control group. The amount of bleeding during operation of study group was less than that of the control group, while the hospitalization cost was higher (P<0.05); Compared with preoperative pain, the VAS scores at 1st, 3th and 5th day of 2 groups after surgery were significantly decreased, and the VAS scores of the study group were significantly lower than those of the control group at each time point (P<0.05); The postoperative complication rate of the study group was 6.67%, which was significantly lower than that of the control group (17.24%), the difference was statistically significant (P<0.05).

Conclusion

Compared with open tension-free repair, laparoscopic repair is feasible and safe, can reduce bleeding effectively and postoperative pain, shorten the operation time, length of hospital stay and postoperative bed time.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes

Yonghui Liang, Pengshi Mo, Weiming Liao, Yingju Chen, Da Liu, Xianglin Gao, Zhensheng Wu, Yuhui He. Comparative analysis of the effect and safety of laparoscopic repair and open tension-free repair for inguinal hernia in elderly patients[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2018, 12(01): 34-37.

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References 14

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组别	例数	手术时间(min)	术中出血量(ml)	住院时间(d)	术后卧床时间(d)	住院费用(元)
研究组	60	41.42±10.69^a	18.15±5.49^a	6.63±1.61^a	2.45±1.06^a	11 022.56±1 598.07^a
对照组	58	48.75±11.62	22.03±3.54	7.28±1.53	4.37±2.95	6 023.20±1 002.15

组别	例数	手术时间(min)	术中出血量(ml)	住院时间(d)	术后卧床时间(d)	住院费用(元)
研究组	60	41.42±10.69^a	18.15±5.49^a	6.63±1.61^a	2.45±1.06^a	11 022.56±1 598.07^a
对照组	58	48.75±11.62	22.03±3.54	7.28±1.53	4.37±2.95	6 023.20±1 002.15

组别	例数	术前	术后1 d	术后3 d	术后5 d
研究组	60	5.69±2.04	3.65±0.72^ab	2.56±1.49^ab	1.70±0.13^ab
对照组	58	5.72±2.13	4.83±0.50^a	3.64±1.32^a	2.86±1.24^a

组别	例数	术前	术后1 d	术后3 d	术后5 d
研究组	60	5.69±2.04	3.65±0.72^ab	2.56±1.49^ab	1.70±0.13^ab
对照组	58	5.72±2.13	4.83±0.50^a	3.64±1.32^a	2.86±1.24^a

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