Abstract:
Objective To investigate clinical effect of open total extraperitoneal herniorrhaphy (TEP) for the treatment of completely scrotal hernia in the elderly patients.
Methods Made a retrospective study of 106 completely scrotal hernia in the elderly patients in Guangdong second provincial general hospital from July 2014 to June 2018 and divided them into observation group and control group. The observation group used open total extraperitoneal herniorrhaphy (open TEP) for treatment, while control group used laparoscopic trans-abdominal preperitoneal hernia repair (TAPP). The index including operation time, total cost, incidence of postoperative complications of cardiorespiratory and deliration, intraoperative blood loss, postoperative seroma, acute urinary retention, hospital stay and recurrence rat were observed to evaluate the curative effect of open total extraperitoneal herniorrhaphy.
Results The operation time, total cost, incidence of postoperative complications of cardiorespiratory and deliration in open TEP group and TAPP group was (46.5±10.7) minutes vs (56.7±10.0) minutes, (8200.5±1599.7) yuan vs (12 031.7±735.6) yuan, 0 vs 8.3%, 0 vs 10.4%, respectively. There was statistical difference between the two groups. But there was no statistical difference in between the two groups in terms of intraoperative blood loss, postoperative seroma, acute urinary retention, hospital stay, recurrence rate.
Conclusion The open total extraperitoneal herniorrhaphy is shorter in operation time, lower in total cost and reliable in safety. It is a rational operation for completely scrotal hernia in the elderly patients
Key words:
Scrotal hernia,
Aged,
Herniorrhaphy
Xiaopeng Duan, Hanning Wang, Jinfeng Xiao, Kaiyun Chen, Guoan Xiang. Application experiences of open total extraperitoneal herniorrhaphy for the treatment of completely scrotal hernia in the elderly patients[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(02): 130-133.