Comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair

doi:10.3877/cma.j.issn.1674-392X.2019.04.014

Abstract

Abstract:

Objective

To investigate the comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair.

Methods

We retrospectively analyzed the clinical data of 1 237 patients with inguinal hernia who underwent open tension-free hernia repair from January 2010 to January 2018 in Liangxiang hospital, Fangshan district, Beijing. They were divided into two groups of Plug and Pre-peritoneal according to operation method. The infection, recurrence, chronic pain, foreign body sensation were compared.

Results

1 237 cases were enrolled and followed up for 12 to 24 months. There are no significant difference between two groups in recurrence rate, mesh infection, chronic pain. Pre-peritoneal group was better than plug group in terms of recurrence rate, mesh infection and postoperative chronic pain, with statistically significant differences (P<0.05).

Conclusion

pre-peritoneal hernia repair is safe and effective with a lower complication rates.

Key words: Hernia, inguinal hernia, Tension-free hernia repair, Preperitoneal, Plug

Zhenghua Ren, Haiyang Yu, Qinglong Shi, Honglu Wang, Shuangjun Cao, Xuzong Ren. Comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(04): 339-341.

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References 10

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组别	例数	总并发症	血清肿	复发	伤口感染	深部感染	触感	慢性疼痛
网塞组	703	153(21.8)	52(7.4)	13(1.8)	15(2.1)	23(3.3)	39(5.5)	11(1.6)
腹膜前组	534	84(15.7)	35(6.6)	2(0.4)	12(2.2)	8(1.5)	19(3.6)	2(0.4)
χ²值	?	10.240	0.330	5.510	0.630	5.580	2.690	4.060
P值	?	0.001	0.370	0.020	0.800	0.020	0.100	0.040

组别	例数	总并发症	血清肿	复发	伤口感染	深部感染	触感	慢性疼痛
网塞组	703	153(21.8)	52(7.4)	13(1.8)	15(2.1)	23(3.3)	39(5.5)	11(1.6)
腹膜前组	534	84(15.7)	35(6.6)	2(0.4)	12(2.2)	8(1.5)	19(3.6)	2(0.4)
χ²值	?	10.240	0.330	5.510	0.630	5.580	2.690	4.060
P值	?	0.001	0.370	0.020	0.800	0.020	0.100	0.040

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